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Terror Zones

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Delirium

Helms

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'LemIstIo'
1% Chance to Cast lvl 50 Delirium When Struck6% Chance to Cast lvl 14 Mind Blast When Struck14% Chance to Cast lvl 13 Terror When Struck11% Chance to Cast lvl 18 Confuse On Striking+2 to All Skills+261 Defense+10 to Vitality50% Extra Gold From Monsters25% Better Chance of Getting Magic ItemsLevel 17 Attract (60 Charges)

Delirium is a unique helm runeword in Diablo 2 Resurrected created with Lem + Ist + Io in any 3-socket helm. Famous for its bizarre transformation mechanic, it offers +2 to all skills—the only helm runeword to do so—but comes with significant drawbacks that limit its appeal.

Bone Fetish Transformation

Delirium's defining feature is its 1% chance to cast level 50 Delirium when struck, which transforms the wearer into a Bone Fetish for approximately 60 seconds. During this transformation, most skills are disabled—you can only perform a headbutt melee attack. Passive skills, auras, and transformations still work, making Druids the primary beneficiaries since they can transform back to Werewolf or Werebear to regain skill access while maintaining the Delirium buff.

Crowd Control Chaos

Beyond the transformation, Delirium provides extensive crowd control: 6% chance to cast level 14 Mind Blast when struck, 14% chance to cast level 13 Terror when struck, 11% chance to cast level 18 Confuse on striking, and level 17 Attract (60 charges). These procs constantly disrupt enemy AI, causing monsters to flee, fight each other, or become confused. While chaotic, this can provide surprising defensive value by keeping enemies away from the player.

Skill Bonus Appeal

The +2 to all skills makes Delirium attractive when created in class-specific helms. A Druid Pelt with +3 to Tornado becomes +5 with Delirium, offering exceptional skill bonuses. This makes it viable for pre-buffing or for builds that can work around the transformation mechanic.

Why It's Rarely Used

The transformation mechanic is too disruptive for most builds. Harlequin Crest (Shako) offers better all-around stats and costs far less than an Ist rune. Jalal's Mane provides better bonuses for Druids with socketability. Rare Druid Pelts with +skills, faster hit recovery, life, and resists often outperform Delirium. The runeword sees occasional use on Act 1 mercenaries for the confusion procs or on specific Druid builds, but remains a niche choice unsuitable for most players.