Use the Lectern of Enchantment in Sanctuary to infuse Eris's magic with Nightmare Essence and create a new piece of gear.
1
Essence of InsanityThis step
Cleansing this Essence will grant a piece of gear.
Get Grenade Launcher final blows in Vanguard, Gambit Ops, or Crucible activities, and claim the Bound Manacle in the Gatehouse to cleanse this Essence. Defeating Guardians grants the most efficient progress.
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