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Each attack with a melee weapon will choose an element at random, and will only be able to deal damage of that element. If the attack hits an enemy, it will deal damage in an area around them, with the radius being larger if that enemy is suffering from an ailment of the chosen element. It will avoid choosing the same element twice in a row.
Data from RePoE (repoe-fork) — Community export of the game's own files — Path of Exile © Grinding Gear Games. Last updated .