Primal Blood Essence in V Rising is the highest tier of blood essence available in the game. You can obtain it in two different ways. The first way is by refining exquisite hearts into a primal blood essence. It costs 4 exquisite hearts to make 1 primal blood essence. If you have an Alchemy room with the appropriate bonuses the cost drops to 3 hearts for 1 essence.
Exquisite hearts drop from enemies in the higher level zones. They are the rarest form of heart drops from enemies. Therefore, it’s a good idea to store them as you come across them. Farming these hearts will take you a very long time. It’s not an efficient way to obtain the primal blood essence that you’re after. However, there is an easier way to obtain primal blood essence versus farming exquisite hearts. You will need to defeat a V Boss and acquire the recipe.
| Icon | Item Name | Description |
|---|---|---|
 | Primal Blood Essence | An energy source distilled from blood. Vampires use it to control material, to unlock sealed knowledge and to convert humans into obedient servants. It’s used in higher tier recipes (such as the anvil), used to upgrade your castle heart, and used in high tier gear recipes. |
How to Craft Primal Blood Essence in V Rising
You will need to acquire the primal blood essence recipe before you can craft it. In order to get the recipe you will have to defeat Jade the Vampire Hunter. This is a level 62 V boss that roams the paths in Dunley Farmland.
In order to craft primal blood essence you will need to use the blood press. You will need to turn blood essence into greater blood essence, and then use craft the primal blood essence from the greater blood essence. It will cost you 12 greater blood essence to craft 1 primal blood essence. If you have an alchemy room the cost is reduces to 9 greater blood essence for 1 primal blood essence.
What Primal Blood Essence is Used For
Primal Blood Essence is used for end game structures and gear. You will need it to upgrade your castle heart to level 3, and to craft the anvil. Primal Blood Essence is an ingredient for the following items. The ingredients listed are the base cost. If you have a forge room, workshop room, or tailor room then the cost is reduced accordingly.
| Icon | Item Name | Gear Level | Ingredients |
|---|---|---|---|
 | Sanguine Crossbow | 24 | Dark Silver Crossbow, 16 Imperial Thread, 4 Primal Blood Essence, 12 Pristine Leather |
 | Sanguine Sword | 24 | Dark Silver Sword, 4 Flawless Sapphire, 4 Primal Blood Essence, 12 Pristine Leather |
 | Sanguine Axes | 24 | Dark Silver Axes, 4 Flawless Rubies, 4 Primal Blood Essence, 9 Pristine Leather |
 | Sanguine Mace | 24 | Dark Silver Mace, 3 Flawless Topaz, 3 Primal Blood Essence, 12 Pristine Leather |
 | Sanguine Spear | 24 | Dark Silver Spear, 4 Flawless Emerald, 4 Primal Blood Essence, 12 Pristine Leather |
 | Sanguine Reaper | 24 | Dark Silver Reaper, 4 Flawless Miststone, 4 Primal Blood Essence, 12 Pristine Leather |
 | Sanguine Slashers | 24 | Dark Silver Slashers, 4 Flawless Amethyst, 4 Primal Blood Essence, 12 Pristine Leather |
 | Bloodmoon Chestguard | 8 | 12 Imperial Thread, 8 Silk, 1 Primal Blood Essence |
 | Bloodmoon Leggings | 8 | 12 Imperial Thread, 8 Silk, 1 Primal Blood Essence |
 | Bloodmoon Gloves | 8 | 12 Imperial Thread, 8 Silk, 1 Primal Blood Essence |
 | Gloodmood Boots | 8 | 12 Imperial Thread, 8 Silk, 1 Primal Blood Essence |
 | Golden Castle Key | N/A | 12 Primal Blood Essence, 24 Gold Ingot, 40 Spectral Dust, 80 Dark Silver Ingots, 80 Reinforced Planks |
 | Blood Key | N/A | 400 Gem Dust, 28 Dark Silver Ingots, 8 Gold Ingots, 4 Primal Blood Essence |
 | Anvil | N/A | 1 Primal Blood Essence, 32 Dark Silver Ingots, 12 Reinforced Planks |