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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 use the Wicked hood's teleport, which could only be used 2 times daily, 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. Using Drakan's medallion to teleport to the Meiyerditch Laboratories and running through the Meiyerditch Dungeon takes a little longer than going through the Abyss, but avoids the risk of player killers. Teleporting to Burgh de Rott with the medallion provides a quick means to bank runes and restock on essence. Note that, for the purposes of using up charges on Drakan's medallion, the Blood Altar is technically considered "outside" of Morytania. As such, in order to avoid wasting charges you should leave the interior of the altar before teleporting away. Alternatively, just make sure you recharge the medallion near the Burgh de Rott destination at some point.
The maximum likely limit for crafting Blood runes in one visit is 266, if not using Morytania legs 2 or up (which grant 10% chance of extra blood rune per essence). This would be achieved by having 90 Runecrafting, and carrying 266 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 20 from the abyssal titan summoning creature). The maximum possible experience is 2,793 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 centrepiece instead of a grey symbol due to the fact it is a look alike with the water altar.
- True to its name, blood slowly pours from the centre of the altar and eventually reaches the lake.
- It is also the only altar that shares its colour theme (red) with its respective talisman.