Spit out a glob of corrosive bile that creates a 3.5m radius disease cloud on impact that lingers for 3s. Enemies that enter the cloud are afflicted with a debuff that deals 100% heartrune damage per second and reduces healing by 30% for 8s. Cloud sticks to enemies on direct hits.
Item Cunning Heartrune of Bile Bomb can be crafted on Stonecutting Table tier III. You need 1 of Major Heartrune of Bile Bomb, 10 of Wooden Coin, 10 of Gypsum Orb, 50 of Fish Oil, 50 of Vial of Suspended Azoth, 10 of Sulfur. In results you get 1 of Cunning Heartrune of Bile Bomb with 625 gearscore. For crafting required Stonecutting skill with level 0 or higher.