ManyDiablo 4players have been wondering about how to get and use the Gurgling Head item, which is a special item required for summoning a certain boss.
If you’re struggling to find the Gurgling Head or don’t know what to do with it, we’ll explain everything. It’s not a common item to find, but we can point you in the right direction.

Diablo 4: How to get and use Gurgling Head
If you’re looking to fight the Echo of Varshan, an Uber boss, you’ll need the Gurgling Head, alongside three other Malignant Body Parts. There are a few different ways you can come across a Gurgling Head, such ascaches from Whispers of the Dead on World Tier 3/4, turning other Malignant Body Parts into it, or a drop from a Grotesque Debtor.
First off, you must be on eitherWorld Tier 3or 4to even find Malignant Body Parts. You’ll find them more often inside random caches you receive from completing Whispers of the Dead. The four parts required to summon the Echo of Varshan are theGurgling Head, Blackened Femur, Trembling Hand, and Malignant Heart.

Note: You only need the Malignant Heart if you want to summon the Echo of Varshan on World Tier 4.
You may also findGrotesque Debtorswho are rare elite enemies that can drop Malignant Body Parts upon defeat. During Season 2, you used to be able to spot them in Blood Harvests, but with that Season over, you’ll have to search throughout areas where you’re completing Grim Favors. Look out for Grotesque Debtors as you make your way throughGrim Favors for the Tree of Whispers.
One final way you can get a Gurgling Head is by turning other Malignant Body Parts into it. Visit anAlchemistand they’ll be able to create a Gurgling Head using these materials:
Related:How to use Exquisite Blood to summon Lord Zir in Diablo 4
You’ll findMalignant Heartsthrough the same methods that you get the Gurgling Head, which is by killing Grotesque Debtors or completing Whispers of the Dead.Abstruse Sigilsare available fromsalvaged rings and amulets, whileVeiled Crystalsare found fromsalvaged Rare and Legendary items.
Once you have a Gurgling Head, alongside the three other Malignant Body Parts, you may summon the Echo of Varshan in theMalignant Burrow, which is inside The Writhing Mirebeside the Tree of Whispers.
Now you can go ahead and fight the Echo of Varshan for special drops likeUnique itemsor theMucus-Slick Egg, which is used to summon another Uber boss named Duriel.
Anyka Pettigrew
Anyka Pettigrew has been a Staff Writer for PC Invasion since November 2023 and a Contributing Writer since February 2023. She is a Canadian graduate of a Bachelor of Arts degree who has been writing in games journalism for four years. Anyka is an avid guides writer but also enjoys writing anything from news pieces, to reviews, and even opinion pieces. Having a never-ending passion for video games for as long as she can remember got her into a plethora of genres like action adventure, RPGs, horror, survival etc. Some of her favorite franchises are God of War, Persona, The Last of Us, Zelda, and Resident Evil. She also enjoys reading fantasy and sci-fi books, as well as drawing digital art. Anyka also regularly listens to podcasts on gaming news from ‘Kinda Funny Games’, and ‘Play, Watch, Listen’.