Rivers of Blood Build

S-Tier Dexterity Build • Elden Ring
Rivers of Blood Build
  • White Mask
    Helm
    White Mask Increases attack power by 10% for 20 seconds after blood loss occurs in the vicinity
  • Raptor's Black Feathers
    Chest Armor
    Raptor's Black Feathers Strengthens jump attacks by 10%
  • Okina Mask
    Helm (Optional)
    Okina Mask Part of the Rivers of Blood quest line. Use any light gloves for mobility
  • Ronin's Greaves
    Legs
    Ronin's Greaves Focus on mobility over defense. Ronin's Greaves provide good balance
  • Rivers of Blood
    Right Hand (Primary)
    Rivers of Blood Legendary katana with blood affinity. Weapon skill: Corpse Piler - Unleash a bloody barrage that causes blood loss
  • Uchigatana +25
    Left Hand (Secondary)
    Uchigatana Blood-infused backup katana for dual-wielding when needed
  • Lord of Blood's Exultation
    Talisman
    Lord of Blood's Exultation Increases attack power by 20% for 20 seconds when blood loss occurs in vicinity
  • Rotten Winged Sword Insignia
    Talisman
    Rotten Winged Sword Insignia Greatly boosts attack power with successive attacks (up to 13%)
  • Carian Filigreed Crest
    Talisman
    Carian Filigreed Crest Reduces FP consumed by skills by 25%
  • Green Turtle Talisman
    Talisman
    Green Turtle Talisman Raises stamina recovery speed by 17.5/s
  • Flask of Crimson Tears 14
    Flask of Crimson Tears
    Restores HP. Upgraded to +12 for maximum healing.
  • Flask of Cerulean Tears 1
    Flask of Cerulean Tears
    Restores FP for weapon skills. Keep one for emergencies.
  • Flask of Wondrous Physick
    Flask of Wondrous Physick
    Windy Crystal Tear + Thorny Cracked Tear
    Effects
    Temporarily reduces equipment load
    Consecutive attacks increase attack power
  • Bloodboil Aromatic
    Bloodboil Aromatic
    Increases attack power but also increases damage taken. Use for boss fights.
  • Exalted Flesh
    Exalted Flesh
    Temporary attack power boost. Stack with other buffs for maximum damage.

Stat Distribution (Level 150)

  • Vigor: 60 (Soft cap for HP)
  • Mind: 20 (Sufficient FP for weapon skills)
  • Endurance: 25 (Good stamina pool)
  • Strength: 12 (Minimum for Rivers of Blood)
  • Dexterity: 40 (Primary damage stat)
  • Intelligence: 18 (Required for Rivers of Blood)
  • Faith: 20 (Required for Rivers of Blood)
  • Arcane: 45 (Blood scaling and status buildup)

How to Get Rivers of Blood

  • Complete Okina's invasion near the Church of Repose in Mountaintops of the Giants
  • Must be obtained before defeating the Fire Giant
  • Location: Church of Repose, Mountaintops of the Giants
  • NPC Invasion: Bloody Finger Okina must be defeated

Gameplay Strategy

  • Primary Attack: Use Corpse Piler weapon skill for massive bleed buildup and damage
  • Bleed Focus: Each hit builds hemorrhage - once procced, deals % max HP damage
  • Range Advantage: Corpse Piler has excellent reach for maintaining distance
  • Buff Stacking: Activate White Mask and Lord of Blood's Exultation after first bleed proc
  • FP Management: Use Carian Filigreed Crest to reduce skill costs
  • Positioning: Stay mobile, use the weapon skill's range to avoid close combat

PvP Notes

  • Opener: Corpse Piler catches many players off-guard with its range
  • Pressure: Constant bleed threat forces defensive play from opponents
  • Mixups: Alternate between weapon skill and regular attacks
  • Counters: Weak to greatshields and high-poise builds
  • Spacing: Excellent mid-range weapon, struggles in close quarters

Alternative Equipment

  • Helm: Okina Mask (if you prefer the aesthetic) or any light helm
  • Weapon: Nagakiba (blood-infused) for even more range
  • Talisman: Millicent's Prosthesis instead of Rotten Winged Sword Insignia
  • Shield: Brass Shield (blood-infused) for parrying opportunities