On Hell difficulty, where all monsters gain 50% physical resistance and have far more health than damage they are capable of dealing, Iron Maiden is not very powerful.Ī popular Necromancers' PvP tactic against unwary melee fighters is casting Iron Maiden curse coupled with Bone Wall and/or Bone Prison. Iron Maiden is useless against physical immunities. Iron Maiden doesn't reflect ranged attacks, with the sole exception of Flayer Blow Darts. It only reflects Physical damage, and resulting damage also counts as Physical. Iron Maiden is similar in function to the Paladin's Thorns aura and the Druid's Spirit of Barbs, though it is weaker than the former and more powerful than the latter. The more points invested in Iron Maiden, the more damage is reflected - to the point where attackers take many times more damage than they inflict.

On lower difficulties, the reflected damage can kill monsters who are attacking the caster or his/her allies. This Curse causes all melee damage done by the target to be reflected towards the attacker. Diablo II: Resurrected Review - Pile Of Old Bones

Diablo 2 2.4 skill calculator