Where the rune is concerned all attacks have some kind of 'value' and some are much higher/lower than you'd have any reason to expect. The last thing of any real note would be how this rune decides to pay out with for health returns. This can be pretty good if you pair it with endure / hp cap boosters / dragoncrest greatshield talisman. The spell will proc Malenia's great rune and that's for as many times as every projectile interacts with enemy hurt boxes. And where spells are concerned Pest threads is definitely king against large targets. Have fun with endure and the peeler's unique running/full charge heavies. What you and I can do with this information: 1. This and the godskin swaddling cloth seem to ignore the penalty to (all) healing that black flame protection and the great rune here have as demerits. Having the Great Rune just equipped (but not active) will not have any effect on the flask, only activating it with a Rune Arc will.The Flask of Crimson Tears is reduced to 70% of its normal HP recovery amount while this Great Rune is active.

There is a separate light-red HP bar that indicates how much HP you can restore through dealing damage.

If hit 1 reduces you from 500 to 400 HP, then hit 2 reduces you from 400 to 300 HP, you will only be able to restore back up to 400 HP by dealing damage.

Getting hit multiple times in a row will reset the restore point to the amount of HP you had after the previous hit.

This makes jumping attacks and charged attacks restore more % of HP on hit.

Total damage does not affect the restored HP, but rather the damage modifiers of the weapon attack performed. The amount restored per hit is dependant on the type of attack (light, heavy, charged, jumping, etc) and your weapon class.Only enemy hits can trigger the rune's effect. Self-inflicted damage such as Bloody Slash or Seppuku does not trigger this.While this rune is active, getting hit will activate a small window of roughly 5 seconds where dealing damage will slightly restore HP up to the amount before you got hit.Elden Ring Malenia's Great Rune Notes & Tips

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