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(-1)

am I bad or is vampirism garbage? I got a discount scythe turn 3 or 4 and it didn't do much, I feel like I only won games where people had a bad backpack.

(-1)

maybe some vampirism items could give empower?

(+2)

I see nothing to remove buffs/debuffs here, also vampirism needs something to support it, as it doesn't do enough damage.

(+1)

Vamp is pretty weak on its own but with the right support it's godly. Take this build for example.

Bloodthorne carried here due to its insane damage scaling paired with the scythe and a liberal amount of luck & regen (for it to convert to into extra vamp). By the end of the run i was hitting 200+ dmg crits.

The other guy, Hoo, has the better build.

You have 27 vampirism 

But Hoo managed to inflict 63 poison with hammer+poison dagger build.

You need double Vampiric sword to make your build stronger.