Sanguinesti staff
This article is compiled from the videos of GnomonkeyRS. It records what Gnomonkey said, with sources, not verified game fact. See About.

| Type | Item |
| Videos | 6 (first 2020-07-11, latest 2026-07-22) |
| Main source | SUMMER SWEEP-UP CHANGES ARE HERE (OSRS) |
Sanguinesti staff is an item topic that Gnomonkey covers in 6 videos between 2020-07-11 and 2026-07-22. This article is a stub: his statements are grouped by type, repeated ones merged.
Stats and numbers
- The Sanguinesti staff costs about 125M, has the exact same stats as the Trident of the swamp, but its spell has one extra max hit.1
- The Sanguinesti staff has a 1 in 6 chance to heal you for 50% of the damage dealt with an attack, a passive that is incredibly good in the Chambers of Xeric and useful at the Dagannoth Kings.1
- The Harmonised nightmare staff with Fire Surge significantly beats the Sanguinesti staff's DPS on the totems even with an imbued heart, so if you can bring it you can skip the heart.2
- The Sanguinesti staff is usually one max hit over the Trident and heals for one sixth of the damage dealt.3
- With multipliers like salts in Tombs of Amascut the +1 base max hit could lead to as much as two max hit in some cases.4
- The Summer Sweep-up increased the Sanguinesti staff's heal chance to 1 in 5, up from 1 in 6.5
- After the Summer Sweep-up, the Sanguinesti staff deals 8 additional damage whenever its heal procs, which Gnomonkey says averages out to +1.6 damage per hit; its base max hit also increased by 1.5
- The Sanguinesti staff's +1 base max hit can equate to +2 damage with a lot of gear, so at minimum he counts about +2.6 damage per cast.6
- The Summer Sweep-up reduced the Sanguinesti staff's charge cost from 3 to 2.6
Tips
- A Sanguinesti staff paired with an SGS and Blood fury should negate the need for food at The Nightmare and should allow two kill trips on one inventory.7
- Gnomonkey brings the Sanguinesti staff with an imbued heart as his mage weapon for The Nightmare totems.8
- The Sanguinesti staff is an amazing sustain tool for getting into raids, but because it is expensive it is worth getting a bit later than some other upgrades.3
- Gnomonkey suggests reducing the Sanguinesti staff's charge cost from three blood runes to two or one per cast, since at three it costs nearly as much per hour as the Tumeken's shadow.9
- Gnomonkey suggests giving the Sanguinesti staff an extra base max hit, so with big boosts like salt in Tombs of Amascut it would be closer to the Eye of Ayak.9
Gnomonkey's opinion
- Gnomonkey says to skip the Sanguinesti staff or buy it last if you do not plan on raiding or doing Dagannoth Kings, since the Trident of the swamp is usually a better choice otherwise.10
- Gnomonkey calls the Sanguinesti staff insanely good at The Nightmare because the totems can proc its heal effect and your max hit is over 80; lucky procs on high hits can heal you back to full health.11
- Gnomonkey says the Sanguinesti staff became very useless after the Eye of Ayak came out and its price dropped to around 20 million.12
- Gnomonkey likes the Sanguinesti staff changes, saying the occasional big hit feels good and the staff is pushed a little closer to the eye (Tumeken's shadow-style top staff), needed to be a bit higher than Trident was.13
- Gnomonkey considers the buffed Sanguinesti staff to sit between the trident and Eye of Ayak, and says it will never compete with Eye of Ayak.6
- Gnomonkey thinks players learning Ulm could bank their Eye of Ayak and use the buffed Sanguinesti staff for easy kills, and that it is better in places where healing matters such as the Akkha room.6
Events
- Sanguinesti staff changes: heal chance increased to 1 in 5 from 1 in 6, 8 additional damage when the heal procs (about +1.6 damage per hit on average), base max hit +1, and charge cost reduced to two blood runes... charge cost per cast reduced to 2 from 3.13
Revision history
| Date | Video | Change |
|---|---|---|
| 2026-07-22 | SUMMER SWEEP-UP CHANGES ARE HERE (OSRS) | Added: 6 statements (opinion, stat) |
| 2026-06-04 | The New Summer Sweep Update is CRAZY (OSRS) | Added: 3 statements (event, opinion, stat) |
| 2026-05-27 | Summer Sweep up WISH-LIST (OSRS) | Added: 3 statements (opinion, tip) |
| 2024-07-07 | Ultimate Account Building Guide (OSRS) | Added: 2 statements (stat, tip) |
| 2020-10-09 | Nightmare Solo Guide 12m GP/HR (And Groups!) OSRS 2020 | Added: 4 statements (opinion, stat, tip) |
| 2020-07-11 | Magic Gear Upgrade Guide (GP TO DAMAGE/PRAYER) OSRS 2020 | Page created: 3 statements (opinion, stat) |
| ## See also |
References
-
Magic Gear Upgrade Guide (GP TO DAMAGE/PRAYER) OSRS 2020, 2020-07-11. ▶ 13:34 ↩↩
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Nightmare Solo Guide 12m GP/HR (And Groups!) OSRS 2020, 2020-10-09. ▶ 3:55 ↩
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Ultimate Account Building Guide (OSRS), 2024-07-07. ▶ 15:52 ↩↩
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The New Summer Sweep Update is CRAZY (OSRS), 2026-06-04. ▶ 34:06 ↩
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SUMMER SWEEP-UP CHANGES ARE HERE (OSRS), 2026-07-22. ▶ 2:15 ↩↩
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SUMMER SWEEP-UP CHANGES ARE HERE (OSRS), 2026-07-22. ▶ 2:30 ↩↩↩↩
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Nightmare Solo Guide 12m GP/HR (And Groups!) OSRS 2020, 2020-10-09. ▶ 2:03 ↩
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Nightmare Solo Guide 12m GP/HR (And Groups!) OSRS 2020, 2020-10-09. ▶ 2:59 ↩
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Summer Sweep up WISH-LIST (OSRS), 2026-05-27. ▶ 28:28 ↩↩
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Magic Gear Upgrade Guide (GP TO DAMAGE/PRAYER) OSRS 2020, 2020-07-11. ▶ 14:06 ↩
-
Nightmare Solo Guide 12m GP/HR (And Groups!) OSRS 2020, 2020-10-09. ▶ 3:26 ↩
-
Summer Sweep up WISH-LIST (OSRS), 2026-05-27. ▶ 27:59 ↩
-
The New Summer Sweep Update is CRAZY (OSRS), 2026-06-04. ▶ 33:36 ↩↩
Category: Items