TL;DR
- Fall of Oriath introduces 8 powerful support gems enhancing poison, chaos, and elemental builds
- Dexterity gems focus on poison stacking while intelligence gems excel at damage over time effects
- Strategic gem combinations can multiply damage output but require careful build planning
- Avoid common mistakes like mismatching gem colors or ignoring attribute requirements
- Advanced players can optimize gem setups for specific endgame content and boss encounters
Massively multiplayer online games frequently introduce fresh mechanics through expansions to maintain player engagement and game balance. Path of Exile’s landmark “The Fall of Oriath” expansion brought significant enhancements to character builds through innovative support gems. These powerful additions provide players with expanded customization options and strategic depth for their gameplay experience.
Support gems function as modifiers that enhance active skills when socketed together in equipment. Understanding how to properly integrate these gems into your build is crucial for maximizing your character’s potential in Wraeclast’s challenging environments.
3 Dexterity Support Gems
Vile Toxins Support transforms poison-based builds by providing escalating damage multipliers. This gem grants supported skills 20% additional damage for poison effects, over 30% more poison damage, and up to 5% increased hit damage for each poison stack on enemies (capped at six stacks). For optimal performance, combine Vile Toxins with skills that rapidly apply multiple poison instances to maximize the stacking bonus.
Deadly Ailments Support offers substantial damage amplification for damage-over-time focused builds at the cost of direct hit damage. It provides 50% additional damage and 10% increased damage for ailments while reducing hit damage by 30%. This makes it ideal for builds relying on poison, bleed, or ignite effects rather than direct attack or spell damage.
Lesser Poison Support serves as an entry-level poison enabler that complements more advanced poison gems. It grants 10% increased damage, 25% chance to poison on hit, and 1-2 additional chaos damage. Its primary strength lies in creating synergistic combinations with both Deadly Ailments and Vile Toxins for comprehensive poison builds.
5 Intelligence Support Gems
Decay Support introduces a powerful chaos damage over time mechanic perfect for builds focusing on sustained damage. It provides 10% increased chaos damage and inflicts the Decay status, dealing 234 chaos damage over 10 seconds. This gem excels in prolonged encounters where consistent damage application outweighs burst damage needs.
Efficacy Support delivers reliable performance across multiple spellcasting archetypes with its well-rounded enhancements. Supported skills gain 10% increased spell damage, over 15% more damage over time, 10% increased spell duration, and 10% increased damage over time effects.
Immolate Support specializes in fire-based spell amplification against burning targets. It grants 10% increased fire damage and adds 47-71 additional fire damage specifically against enemies affected by burning status effects.
Unbound Ailments Support extends and intensifies ailment effects through duration and potency enhancements. It increases ailment duration by 40% and boosts ailment effectiveness by 20%, making it particularly valuable for builds relying on crowd control through freeze, shock, or chill effects.


Mastering support gem combinations requires understanding both synergistic pairings and potential conflicts. For poison-focused builds, combining Lesser Poison with Vile Toxins creates a foundation that Deadly Ailments can further amplify, though this requires careful attribute management and socket planning.
Common integration mistakes include mismatching gem colors with socket requirements, ignoring attribute prerequisites, and failing to consider mana multiplier impacts on skill sustainability.
Advanced optimization involves tailoring your gem setup to specific endgame content. Boss encounters benefit from high burst damage combinations while mapping efficiency improves with area coverage and clear speed enhancements.
For players struggling with gem acquisition, alternative progression paths include utilizing Path of Exile Items with built-in modifiers or acquiring specific PoE Currency to trade for desired gems. Rare currency items like Exalted Orbs can significantly accelerate your build development through strategic trading.
Action Checklist
- Identify your build’s primary damage type and select corresponding support gems
- Verify gem socket colors match your equipment and meet attribute requirements
- Test gem combinations in controlled environments before committing to endgame content
- Optimize gem levels through quality enhancements and corruption for maximum performance
- Create backup gem setups for different content types (bossing vs mapping)
No reproduction without permission:GameCDjnh » The Fall of Oriath New Gems in Path of Exile Master Path of Exile's Fall of Oriath expansion with essential support gems and advanced build strategies
