Best Blood Gems Setups — Bloodborne
Best Blood Gems Setups — Blood gems, Bloodborne. Physical, mixed or elemental starting points to test with your character's stats.

Three starting points
| Goal | Reference setup to compare |
|---|---|
| Versatile physical | Two radials and one triangle at +27.2% physical |
| Mixed-damage weapon | Nourishing gems suited to the available shapes |
| Converted physical weapon | Two Abyssals with +65 Arcane scaling and one elemental gem |
Specialisation changes the best choice
- Almost exclusive use of thrust or blunt attacks can favour gems of that type.
- Flat damage requires comparing moves; it does not behave like percentages.
- Full-HP, low-HP and charged-attack bonuses only apply while their condition is met.
- A Strength Abyssal can replace a physical gem in some setups: compare attack and damage at your chosen Strength level.
Comparison method
Keep the same target, move, upgrade level and stats. Then compare actual damage, stamina consumed and curse restrictions. The weapon table alone does not summarise performance.
Gem effects and acquisition
Choose a setup based on your main move, damage type and character stats.
Compare using the same weapon, upgrade, move and target.
Percentages multiply; flat points and scaling coefficients need separate comparison.
| Effect | Value |
|---|---|
| Versatile physical | 3 × +27,2 % |
| Elemental conversion | 2 × +65 and 1 element |
| Mixed weapon | All damage |
One or three identical gems
| Effect | Value |
|---|---|
| One gem | +27,2 % |
| Three gems | +105,8 % |
Calculated on the affected attack component, before enemy defence. This percentage alone does not predict the damage of a hit.
Specialised percentage: condition active
| Effect | Value |
|---|---|
| Three +27.2% physical gems | +105,8 % |
| Three +32.6% thrust gems | +133,1 % |
The second setup only strengthens thrust. Both values apply to the affected attack before enemy defence.
+27.2% physical
| Effect | Value |
|---|---|
| Physical ATK | +27,2 % |
One random curse
https://www.bloodborne-wiki.com/2015/10/individual-blood-gems.html
pwmf22gu · Pthumeru Ihyll · 1 · Merciless Watchers & Watcher Chieftain
- Fetid
- Rotted
- Cursed
+65 Strength scaling + secondary effect
| Effect | Value |
|---|---|
| Strength scaling | +65 |
| Added coefficient | +0,65 |
| Secondary effect | Random |
One random curse
https://www.bloodborne-wiki.com/2015/10/individual-blood-gems.html
ksgqnycq · Pthumeru Ihyll · 3 · Headless Bloodletting Beast
- Fetid
- Rotted
- Cursed
+65 Arcane scaling + secondary effect
| Effect | Value |
|---|---|
| Arcane scaling | +65 |
| Added coefficient | +0,65 |
| Secondary effect | Random |
One random curse
https://www.bloodborne-wiki.com/2015/10/individual-blood-gems.html
kkvk8gsj · Pthumeru Ihyll · 3 · Pthumerian Elder
- Fetid
- Rotted
- Cursed
- These setups are baselines for comparison; charged attacks, flat damage and scaling bonuses can change the best choice.
Source : Bloodborne Wiki · CC BY-SA 3.0