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Refined Palmar Pill
May 8, 2026 at 08:05 AM
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The Refined Palmar Pill is an advanced alchemy consumable in Crimson Desert that automatically revives Kliff at 100% of his maximum health when he falls in combat. It is a direct upgrade to the standard Palmar Pill, which only revives at 30% HP. The difference is significant: reviving at full health means Kliff can immediately re-engage in combat without needing to consume additional healing items, whereas the standard pill leaves him vulnerable to being killed again quickly.
The Refined Palmar Pill recipe is locked behind Chapter 9 of the main story, making it a late-game upgrade. By that point, enemies hit hard enough that the 30% revive from a regular Palmar Pill often results in an immediate second death, so upgrading to the Refined version is strongly recommended.
Ingredient | Quantity |
|---|---|
Quality Medicinal Herb | 1 |
1 | |
1 | |
1 |
Effect | Details |
|---|---|
Revive HP | 100% of maximum health |
Activation | Automatic on death |
Cauldron |
Property | Refined Palmar Pill | |
|---|---|---|
Revive HP | 30% | 100% |
Availability | Early game (Chapter 1+) | Late game (Chapter 9+) |
Ingredients | Water x2, any Flower x15 | Quality Medicinal Herb, Palmar Leaf, Palmar Beetle, Water |
The Refined Palmar Pill recipe becomes available after reaching Chapter 9 in the main story. The exact unlock condition may involve completing a specific quest or visiting a particular alchemy-related location during Chapter 9's events.
Carry at least 2 to 3 Refined Palmar Pills at all times during the late game. The 100% health revive is effectively a full reset, allowing you to continue fights against difficult bosses like Tenebrum or Gregor without needing to restart from a checkpoint. The rarer ingredients (Quality Medicinal Herb, Palmar Beetle) may require dedicated gathering trips, so stock up whenever you find them.
The Refined Palmar Pill is the upgraded golden-tier consumable for tougher boss fights and difficult combat encounters. Although the recipe is a story-progression unlock, you can teach it to yourself far earlier at any cauldron using the Improvise system. The cauldron in Harnandes is the recommended early choice because it is reachable from nearly any chapter of the campaign, but the cauldron at your home base or any other cauldron in the open world also works.
The Improvise input order is fixed. Place exactly one of each ingredient in the following order:
Palmar Leaf (one)
Palmar Beetle (one)
Water (one)
Press triangle to make the pill. The cinematic can be skipped. The top-left of the screen will read "Recipe discovered" and fill the recipe knowledge bar by roughly 25 to 30 percent. Three crafts in a row are typically enough to fill the bar to 100 percent and trigger the "Refined Palmar Pill knowledge acquired" message, which permanently unlocks the recipe under the Special Items tab. From that point on you can batch-craft the pill from the standard cauldron menu without using Improvise.
The recipe requires regular Ginseng, NOT Wild Ginseng. Both items use the same inventory icon, which fools many players. If the Improvise craft does not progress the recipe knowledge bar, the most likely cause is that the third slot contains Wild Ginseng instead of Ginseng. Substituting Longcorn sidesteps the problem entirely and is also faster to farm.
Ingredient | Best Source | Notes |
|---|---|---|
Patches near Parorian Village, Mountain of the Frozen Soul, Bow Spirit Cape, and Scholar's Stone Institute ruins | Most pulls yield nothing, but successful pulls return two or three leaves at once. | |
Same patches as palmar leaves | Beetles look like glowy small leaves; the Scholar's Stone Institute ruins spot has the clearest visibility. | |
Scholar's Stone Institute farming patch (steal with mask, chapter 4+) or Pailune merchant after Chapter 9 | Look for red flowers among the green ones. Wild ginseng does not work. | |
Antlered deer south of camp, three packs in a fast-respawn loop | Faster than ginseng. Each antlered deer drops 2 to 4 longcorns. | |
Any water source or vendor | Trivial; never the bottleneck. |
The Reindeer Cloak gives a deer disguise that prevents deer from fleeing, which makes the longcorn loop much faster. The Kuku Gardening Pack auto-gathers every leaf in range with L2 plus R2, which trivializes the leaf and beetle farm once unlocked. A Poison Arrow one-shots antlered deer.
Refined Palmar Pills are intended for tougher boss fights and difficult combat encounters where the standard Palmar Pill is not enough. Once the Improvise unlock is complete, batch-craft a stack at any cauldron before tackling chapter bosses, optional bosses, or any encounter that has been giving you trouble. The golden tier is one of the most useful consumables in the game and is widely treated as easy-mode for the harder fights.
Palmar Pill Recipe and Farming: detailed multi-spot farming routes for every ingredient.
Palmar Pill: the standard tier of the pill.
Alchemy Formula: Refined Palmar Pill: the formula item that grants the recipe through normal story progression.
Reindeer Cloak: deer disguise cloak for longcorn farming.
Kuku Gardening Pack: late-game auto-gather pack for leaves.
