Quick Links
The endgame ofDiablo 4has always been about fine-tuning character builds, and there’s no better way to do that than to fight the toughest of monsters to get awesome loot. In Season 4, players have a new endgame boss to fight in the form of Andariel, the Maiden of Anguish, who has finally managed to appear in content past the main storyline.
Fighting Andariel is very similar to theother bosses inDiablo 4. There’s going to be a bit of a grind involved before you can fight her, but it’ll all be worth it if you’re sick and tired of beating up Duriel all the time. If you’re wondering how to fight Andariel again, here’s what you need to do.

How to Summon Andariel in Diablo 4
You need to collectSandscorched ShacklesandPincushioned Dollsin order to fight Andariel, but before all of that, make sure that you have a character capable of comfortably fighting in Torment difficulty. All endgame bosses can be challenged inDiablo 4’sfourth World Tier, and even then, you’ll need to have a good build that’s strong enough to actually fight the boss you want to beat.
Sandscorched Shackles and Pincushioned Dolls drop from Lord Zir and the Beast In Ice respectively, and in order to fight them, you’ll needExquisite BloodandDistilled Fear. Both of these can drop from the following WT4 sources:

You can occasionally get dolls and shackles from World Bosses, though the drop rates seem to be quite low.
How to Perform the Ritual of Anguish in Diablo 4
Once you’ve gathered enough dolls and shackles, head toHanged Man’s Hallin Kehjistan’s Scouring Sands region. This is directly to the east of the Tarsarak waypoint. Enter the dungeon, fight through all the monsters inside, and once you get to the Wounded Court, place your Sandscorched Shackles and Pincushioned Dolls at the altar.
Andariel shares many similarities to Duriel. Both are Level 100 bosses, a Tormented version of Andariel can be fought by using more resources, and both bosses have the exact same loot pool, which includes the new Tyrael’s Might Unique chest piece.

Apart from getting the new Unique item, the main reason for Andariel being here is to serve as an alternative to Duriel while also giving players more reasonsto fight Lord Zirand the Beast In Ice. If you’re someone who needs to farm these two bosses, you’ll eventually gather enough materials to challenge Andariel, giving you the option to fight her and claim even more Unique items.