Maddening Presence Impresence can only drop from The Elder in Tier 11 maps or higher. It cannot be chanced.
+(10-16) to all Attributes
(30-40)% increased Damage over Time
Adds (17-19) to (23-29) Chaos Damage
+(50-70) to maximum Life
+(17-23)% to Chaos Resistance
Despair has 100% reduced Mana Reservation
Gain Maddening Presence for 10 seconds when you Kill a Rare or Unique Enemy
Though its body was locked in stone,its essence wandered the infinite,learning, and preparing.
A simple tool to price check your items in path of exile by "copy and paste". It is that simple!
Price in Leagues