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Sacred Bloody Flesh in Elden Ring: Shadow of the Erdtree — Effects and Locations

Sacred Bloody Flesh boosts physical attack power and Arcane, with a further attack boost triggered by nearby blood loss. Find it in Rivermouth Cave, the Ancient Ruins of Rauh, or from Bloodfiends.
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Sacred Bloody Flesh is a consumable in Elden Ring: Shadow of the Erdtree that temporarily increases physical attack power and Arcane. While its effect is active, nearby blood loss can trigger an additional attack-power boost. You can find it in Rivermouth Cave and the Ancient Ruins of Rauh, and Bloodfiends are also reported to drop it.

What Sacred Bloody Flesh does

The item description says it temporarily boosts physical attack power and Arcane, then further boosts attack power when blood loss occurs nearby. Eldenpedia reports the initial Body Buff as a 7% increase to physical damage dealt and +10 Arcane. It reports that a blood-loss event within 7 meters while this buff is active triggers a second, 30-second Unique Buff that increases physical damage dealt by 18%. Eldenpedia gives the combined increase as 26.3% over baseline. These precise values are community-wiki mechanics, not independently tested figures; check in-game if exact numbers matter. Eldenpedia’s item entry

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When the extra boost is useful

The additional boost depends on blood loss happening nearby while the first effect is active. Game8 describes pairing the item with a weapon that causes Bleed as a way to make that trigger more practical. Game8’s item guide

Where to find Sacred Bloody Flesh

Rivermouth Cave

Rivermouth Cave is a listed loot area. Eldenpedia says four pieces can be found throughout the cave, while Gamer Guides maps a corpse in the twisting tunnels and three pieces on a throne in a room with Bloodfiends. Game8 also describes collecting the item along its Rivermouth Cave route. These are source-specific route descriptions; follow a map or walkthrough for the exact locations rather than assuming every listing uses the same count. Eldenpedia · Gamer Guides · Game8

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Ancient Ruins of Rauh

Eldenpedia lists one piece in the Ancient Ruins of Rauh, down an elevator southeast of the Viaduct Minor Tower Site of Grace. Use an area map if you need to pinpoint the elevator or route. Eldenpedia’s item entry

Bloodfiend drops

Eldenpedia reports a 2% drop chance from Bloodfiends. Gamer Guides also lists a Chief Bloodfiend drop, but does not establish the same rate in its map entry. Eldenpedia · Gamer Guides

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What the item description says

“Raw meat soaked with blood. A delicacy of the bloodfiends. Temporarily boosts physical attack power and arcane. When blood loss occurs nearby, further boosts attack power. The blood is said to have fallen from the Formless Mother’s wound. Never will it dry, never will it rot.”

The description connects the bloodfiends’ delicacy to the Formless Mother, a figure associated with the blood said to have fallen from her wound. Eldenpedia reproduces the item description

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