Path of Exile: The Forbidden Sanctum Official Trailer

Path of Exile: Forbidden Sanctum is a major expansion requiring the base game, released in late 2022, enhancing the core action RPG experience. It introduces the high-stakes Sanctum challenge league where player decisions carry significant cost. This update integrates new gameplay by adding two Skill Gems, seven Vaal Skills, and over 15 Unique Items, alongside broad balance changes to jewels and curses. A distinctive feature is the optional Ruthless mode, which fundamentally alters play through extreme item scarcity, offering a substantially different endgame challenge.