Step 3: Interact with the Sacrificial Dagger

At the Ritual Altar:
Place the Sacrificial Heart on the altar.
Interact with the Sacrificial Dagger to Path of exile currency perform the ritual.

Step 4: Claim Your Reward

Your character will stab the Heart, successfully completing the ritual and unlocking +2 Weapon Specialisation Points.

Tips for Efficiently Completing the Ritual

Thoroughly Clear Utzaal: Since the Sacrificial Heart is a random drop, missing enemies may result in skipping this crucial item.

Prepare for Aggorat: The enemies in Aggorat are more aggressive and durable. Stock up on:

Life Flasks for survivability.
Movement Skills like Dash or Flame Dash to Path of exile currency for sale evade dangerous encounters.

Check Your Inventory: The Sacrificial Heart must remain in your inventory until you place it on the altar. Accidentally discarding it will force you to backtrack.