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Nightmare is the difficulty level following Normal. Although you will have the creatures with the same appearance and the same quests as in Normal, they will be much harder and a few might use more spells. Furthermore, while in Normal difficulty dying loses you gold, in Nightmare you will also lose experience.

The full list of changes are these:

  • Increased monster levels and stats (hit points, defense, damage, etc.)
  • Monster resists are often buffed, making them more resilient to damage.
  • Player and Hireling resistances are reduced by 40 in the expansion. Regular Diablo 2 players only suffer -20% all resists, but have less means to combat them- no Charms, no Runes or Jewels, and no Scrolls of Resistance.
  • Death results in a loss of 5% of the experience required to reach the next level. Retrieving your corpse restores 75% of the lost experience.
  • Hirelings and Summons deal 35% damage to Act bosses.
  • Duration of Freezing and Chilling effects and AI-affecting curses are reduced by 1/2.
  • Life and Mana Leech effects are reduced by 1/2.
  • Static Field cannot reduce a monster's health below 33%.
  • Many area maps are increased in size.
  • Act V has additional "Guest Monsters" from other acts to increase the difficulty.

For having access to the Nightmare difficulty you must meet one of the following requirements:

  • If you are playing an expansion character, you must have defeated Baal at Normal difficulty;
  • If you don't, you must have defeated Diablo at Normal difficulty.

If a character accomplished the last Quest Act 4 (killing Diablo) in non-expansion you will gain a new title.

  • Hardcore: Male will be Duke and Female Duchess
  • Softcore: Male will be Lord and Female Lady

If it is an expansion character, you must kill Baal in Act 5 to gain a new title.

  • Hardcore: Male and Female will be Conqueror
  • Softcore: Male and Female will be Champion
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