Lake of Rot is part of a secret underground river system, hidden beneath the Lands Between in Elden Ring. Walking through the scarlet rot lake means imminent death and the bosses and enemies don't help, either. It can be frustrating trying to figure out where to go when the very ground you have to walk on kills you.
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This guide will explain how to survive the scarlet rot and get out of the lakes, onto the next area and its boss. The last portion of the article will showcase all worthy loot and enemies in this area. Lake of Rot is related to Ranni The Witch's sidequest and can be accessed through the underground Ainsel River, which you can be teleported to via a portal atop Renna's Rise or by using the Ainsel River Well elevator in East Liurnia of The Lakes.
In Lake of Rot, you have to run through a sea of scarlet rot to get to your final destination. This means the status effect scarlet rot will build up quickly and start chopping away at your health before you even reach the finish line.
There are multiple ways to combat this so that you're not constantly dying. One of the best ways is to just allocate every flask to HP instead of FP, and constantly chug health potions as you run through the lake. With your Flask of Crimson Tears increased from Golden Seeds and made stronger from Sacred Tears, spamming health potions while in the Lake of Rot works wonders. This is only until you get to the next Site of Grace.
You can also grind for precious materials to craft multiple Preserving Boluses. These are consumables that cure the scarlet rot status effect. You will need a lot to consume back to back as you progress through the lake. You can either spam HP flasks or spam
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