In Path of Exile: The Forbidden Sanctum, you will test your resolve as you make your way through the Sanctum's dangerous halls. In the Sanctum, each decision you make can cost you greatly. Our December expansion introduces the Sanctum challenge league and improvements to Path of Exile's endgame, alongside two new Skill Gems, seven new Vaal Skill Gems, over 15 new Unique Items, significant balance changes to jewels, hexes, monster modifiers, unique weapons and more. We are also proud to introduce Ruthless, an optional new way to play Path of Exile with extreme item scarcity.