Foulborn items in Path of Exile offer players an exciting alternative to regular items, providing unique modifiers that can completely change your gameplay experience. Currently, Foulborn items come in two categories: unique items and currency items, both of which can only be obtained through the Genesis Tree feature introduced in the Keepers of the Flame update.
Foulborn unique items have their modifiers altered, requiring players to adapt their builds accordingly. By default, a Foulborn item will have one different modifier, but by using the ‘Extremely Foul’ Notable, players have the chance to obtain multiple alternate mods on a unique item. This process can significantly impact how the item functions, potentially making it even stronger than before.
For example, a Foulborn bow may have a different modifier written in purple, indicating a Foulborn mod that alters gameplay mechanics. Similarly, Foulborn currency items function like regular currency items but have a higher chance of adding higher-level modifiers to an item. Think of them as Greater or Perfect Orbs from Path of Exile 2, with the potential to enhance your items with powerful modifiers.
There are three types of Foulborn currency items:
– Foulborn Orb of Augmentation: Augments a magic item with a new random modifier, with higher-level modifiers being more likely.
– Foulborn Regal Orb: Upgrades a magic item to a rare item, with higher-level modifiers being more likely.
– Foulborn Exalted Orb: Augments a rare item with a new random modifier, with higher-level modifiers being more likely.
Using Foulborn currency items, players can enhance their items, turning them into valuable base items that can be further modified or traded with other players.
Crafting Foulborn items in Path of Exile requires access to the Genesis Tree, where players can find a Unique Item Womb for crafting uniques or a Currency Item Womb for generating currencies. By feeding Graftblood to the Genesis Tree and completing Breach encounters throughout the campaign and endgame, players can continue to create Foulborn currencies and unique items.
In conclusion, Foulborn items in Path of Exile offer a unique and exciting way to enhance your gameplay experience by providing alternative modifiers and crafting options. By utilizing the Genesis Tree and mastering the mechanics of Foulborn items, players can unlock the full potential of these powerful additions to their arsenal.

