If you're deep into Diablo 4's endgame, you've probably noticed the real "secret" content isn't sitting on a map marker waiting for you. This hidden boss setup is one of those things you only learn about after you've been burned a few times and start asking around. If you want to buy game items on u4gm diablo 4 gear, it can help smooth out the rough edges, but you'll still need to do the legwork in-game to even earn the right to enter the arena.
The whole chain revolves around four specific drops called Purified Essences, and yeah, you need every single one. There's no clever workaround. First, you're chasing the Purified Tongue of Azmodan, which comes from an Azmodan world boss fight in Hawezar. Second, you'll head into the Under City and take on Andariel for the Purified Claw. The space feels tight, so sloppy movement gets punished fast. Third, you're going into the Pit to fight Belial and grab the Purified Eye. That one's a grindy endurance check, especially if your sustain isn't dialed in. Fourth, watch for the Hell Flood event, where Duriel can replace the usual Blood Maiden encounter, and that's how you land the Purified Horn.
Once you've got all four essences, don't expect the game to do you any favors. You have to carry them to four ancient altars yourself. They're spread out in Hawezar, Nahantu, Fractured Peaks, and Kehjistan. The order doesn't matter, and you can knock them out across multiple sessions if you want. But nothing triggers early. It's all or nothing. When the fourth altar is activated, that's when the portal finally opens and you realize this was never meant to be a quick dungeon loop.
Going through the portal without a sturdy build is basically donating your time. This secret boss hits like it's offended you personally. If your armor and resists aren't capped, or you've been skating by with "good enough" defensive layers, you'll feel it immediately. You can't just stand still and try to race the health bar. You've got to respect mechanics, keep your buffs rolling, and avoid getting cornered when the fight gets hectic. The upside is the loot actually matches the effort, so when you win, it doesn't feel like a pity prize.
If you manage to hold it together and clear the encounter, the chest payoff is legit. You're looking at crafting materials like Majestic Spark for Mythic crafting, Tributes for the Under City, and a real shot at Legendary Uniques, plus the occasional cosmetic that makes the grind feel personal. It's not a casual detour, it's a full-on project, and that's kind of the point. If you want to gear up faster before taking another run at it, you can also check diablo 4 gear for sale while you're tweaking your setup and sharpening the build.