Hearts of Sanguine Quest Guide: Full Walkthrough (RS3)
Hearts of Sanguine is the first real story quest in Havenhythe after you arrive, and it sets up the main threat in the region. It is longer than the intro quest and includes a boss style fight, but everything is straightforward once you know the steps.
How To Start Hearts of Sanguine In RS3
Start Hearts of Sanguine by speaking to Adam in Wendlewick.
Requirements before starting:
Visions of Havenhythe completed
Items you will need during the quest:
A few coins
10 copper ore
10 tin ore
Wendlewick ale
You can gather most of these during the quest if needed.
Hearts of Sanguine Walkthrough Steps
This quest is mostly investigation and preparation.
Talk to Adam to begin
Speak to Raz near Hollow Hill
Inspect the dead animal by the river
Return to Raz
Go to the Burnt Lobster Tavern
Buy a Wendlewick ale
Speak to Matthew, Miriam, and Jacob
Return to Adam
This part confirms something strange is happening.
Farm And Cave Investigation
Next you move toward the main threat.
Go to Eastfold Farm and talk to Rachel
Follow the blood trail to the cave
Enter the cave and watch the cutscene
You will meet Anya and learn about the Sanguine.
Creating The Antisanguine Potion
You will now prepare for the boss fight.
Go to the lighthouse and speak to Esther
Gather poppies, wolf’s tongue mushrooms, and hedgehog spines
Return to Esther
Create the antisanguine potion step by step
Follow the mixing steps carefully or you will need to redo it.
Crafting A Havensilver Weapon
You will need a special weapon for the fight.
Speak to Liat in Wendlewick
Go to the mine in Highweald Forest
Mine copper and tin if needed
Find and mine havensilver ore
Return to Liat
Smelt and smith a havensilver greatsword
Sanguine Heart Boss Fight
Now you finish the quest.
Return to the cave
Drink the antisanguine potion
Fight the Sanguine heart
During the fight:
Attack the heart normally
Destroy tumors when it becomes immune
Move away from exploding attacks
The fight is not hard, just follow mechanics.
How To Finish Hearts of Sanguine
Speak to Anya after the fight
Return outside
Talk to Adam
Complete the quest
Hearts of Sanguine Rewards
1 quest point
Herblore XP lamp
Smithing XP lamp
Elegant parasol
Access to havensilver smithing
Ability to make antisanguine potions
Access to Silverquill the Dreadhog
Click here to see all the new Havenhythe quests
Final Blurb
Hearts of Sanguine is the quest that really opens Havenhythe up. It gives you your first boss access, introduces the main storyline, and unlocks key systems like havensilver. It takes longer than the intro quest, but it is worth doing right away.
FAQ
How long is Hearts of Sanguine in RS3
It takes around 30 to 45 minutes depending on your pace.
Do you need combat for Hearts of Sanguine
Yes, you fight the Sanguine heart near the end.
What does Hearts of Sanguine unlock
It unlocks Silverquill the Dreadhog and havensilver smithing.

