The Sacrificial Heart in Path of Exile 2 is essential for gaining two weapon set passive skill points, but requires locating a specific ritual site.
Ritual site for the Sacrificial Heart is procedurally generated but consistently found leading northeast up a set of stairs in Aggorat.
To ease your search for the ritual altar, use the transparent map feature to locate the green exclamation point and stairs.
Once you've found the ritual site, use the dagger and heart on the altar to complete the quest and earn valuable skill points.
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