As with most other runecrafting altars, it can be accessed via the Abyss. Players could also enter its ruins by using a blood talisman or an Omni-talisman. Players could also simply click on the ruins while wearing a blood tiara, Omni-tiara, a wicked hood imbued with any of the above, an Omni-talisman staff, or a blood talisman staff.
Currently, the fastest way to get there is to used the Wicked hood's teleport, which could only be used 2 times, or 3 if all the Wicked robes have been purchased from the Runespan. The second fastest way is to break a blood altar teleport tablet. Both of these methods teleport the player just outside of the altar. The wicked hood can be obtained by talking to Tam McGrubor, and the teleport tablets by playing the Great Orb Project.
The maximum likely limit for crafting Blood runes in one visit is 253. This would be achieved by having 77 Runecrafting, and carrying 253 essence to craft (23 in the normal inventory along with 48 in the 5 sizes of Runecrafting pouches, along with 175 claimed from the wicked hood (if all the Wicked robes have been purchased, and 7 from any abyssal summoning creature), whilst wearing an explorer's ring (which has a 1 in 10 chance of producing an extra rune per essence). The maximum possible experience is 2,656.5 obtained while doing the above.
A blood tiara may be created at this altar by having a blood talisman and a normal tiara in your inventory. The player must use the tiara on the altar. Doing so will earn 52.5 Runecrafting experience.
- This is also the only Runecrafting altar with colour on its centerpeice instead of a grey symbol.
- True to its name, blood slowly pours from the centre of the altar and eventually reaches the lake.