This Diablo 4 Malignant Heart Tier List will help you out if you are confused about which Caged Heart to socket in your amulet or ring to make your build more powerful. There are a variety of bonuses that players can unlock via these Hearts which fall under the types of Vicious Heart, Brutal Heart, Devious Heart, and Wrathful Heart.
12 of these 32 Malignant Hearts are for all classes, out of which only 1 is S tier at the time of writing. Note that these rankings are subjective and their usefulness depends on your build and what you are going for output-wise. We have ranked them on the basis of their use in the best leveling and endgame builds in D4 Season 1.
Malignant Heart Tier List in Diablo 4 (D4)
Here are the best Hearts you need to pick in our Diablo 4 Malignant Heart Tier List:
| Tier Ranking | Malignant Hearts | Heart Type | Usable by Class | Min World Tier |
| S-Tier | Barber | Wrathful | All Classes | WT3 |
| S-Tier | Sacrilegious | Vicious | Necromancer | WT1/WT2 |
| A-Tier | Tempting Fate | Vicious | All Classes | WT3 |
| A-Tier | Revenge | Brutal | All Classes | WT3 |
| A-Tier | Ignoring Pain | Wrathful | Barbarian | WT4 |
| A-Tier | Unconstrained Beast | Wrathful | Druid | WT4 |
| A-Tier | Decrepit Aura | Brutal | Necromancer | WT1/WT2 |
| A-Tier | Tal’Rasha | Vicious | Sorceress | WT1/WT2 |
| B-Tier | Dark Dance | Vicious | All Classes | WT1/WT2 |
| B-Tier | Prudent Heart | Brutal | All Classes | WT3 |
| B-Tier | Creeping Death | Wrathful | All Classes | WT1/WT2 |
| B-Tier | Focused Rage | Vicious | Barbarian | WT1/WT2 |
| B-Tier | Great Feast | Wrathful | Necromancer | WT4 |
| B-Tier | Inexorable Force | Devious | Druid | WT1/WT2 |
| B-Tier | Vile Apothecary | Wrathful | Rogue | WT4 |
| C-Tier | Malignant Pact | Wrathful | All Classes | WT1/WT2 |
| C-Tier | Spite | Devious | Sorceress | WT3 |
| C-Tier | Agitated Winds | Brutal | Druid | WT1/WT2 |
| C-Tier | Lionheart | Brutal | All Classes | WT3 |
| C-Tier | Resurgent Life | Brutal | Barbarian | WT1/WT2 |
| C-Tier | Frozen Terror | Devious | Necromancer | WT1/WT2 |
| C-Tier | Cluster Munitions | Vicious | Rogue | WT1/WT2 |
| C-Tier | Trickery | Brutal | Rogue | WT1/WT2 |
| C-Tier | Omnipower | Wrathful | Sorceress | WT4 |
| C-Tier | Punishing Speed | Devious | Barbarian | WT1/WT2 |
| D-Tier | Picana | Vicious | All Classes | WT3 |
| D-Tier | Retaliation | Devious | All Classes | WT1/WT2 |
| D-Tier | Clipshot | Devious | Rogue | WT1/WT2 |
| D-Tier | Determination | Devious | All Classes | WT1/WT2 |
| F-Tier | Moonrage | Vicious | Druid | WT1/WT2 |
| F-Tier | Calculated | Devious | All Classes | WT1/WT2 |
| F-Tier | Spellbreaking | Brutal | Sorceress | WT1/WT2 |
Which is the Best Malignant Heart to Use?
So if you are playing in a party of various classes, you can start your grind towards getting the Caged Heart of the Barber (Wrathful) together, wherein “Critical Strikes and all subsequent damage within 2.0-4.0 seconds is absorbed by your target. Then, the absorbed damage erupts onto surrounding enemies. Stored damage is increased by 10%(x) per second.” And Necromancers have an amazing bonus where “Walking near a Corpse automatically activates an equipped Corpse Skill every second, dealing a % of reduced damage.”
The Caged Hearts in A and B tiers are usable too, just it depends on your build, and the item powers you have unlocked.
So these were the best and worst Vicious, Brutal, Devious, and Wrathful Hearts. With that out of the way, check out our Diablo 4 Nightmare Dungeon tier list as well as class tier list of season 1.