The Rush of blood damage enhancer is a damage enhancer that can be received from the Motherlode Maw's daily random reward if the player has at least level 115 Dungeoneering, and level 95 in all other non-elite skills. There is a chance of obtaining it by trading Wythien ten crystal motherlode shards. It can also be obtained by talking to Wythien to convert an unfocused damage enhancer to a Rush of blood damage enhancer. By converting an unfocused damage enhancer it will only have half of the charges, giving it 250 charges instead of 500.
When the enhancer is in the player's inventory, they will inflict 10% more damage against monsters in Rush of Blood. This lasts for 500 successful hits, after which the enhancer will disappear.
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