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Effect type
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Damage received on skill activation; stacks intensity.

— In-game description

Confusion is a condition that deals damage each second and additional damage each time the affected target begins to activate a skill. Confusion stacks intensity. Like all damaging conditions, it will stack up to a maximum of 1500 times.

Characters suffering from confusion can be identified by twirling, purple tinted spiral over their heads. Additionally, the same effect will appear alongside damage dealt by confusion when using a skill.

In PvE, the damage over time is higher, and the damage on skill activation is lower, than it is in WvW and sPvP. The formulae for confusion's damage are:

Damage over time (PvE only):

(0.06 * Condition Damage) + (0.25 * Level) + 2 damage per stack per second.
(0.06 * Condition Damage) + 22 damage per stack per second at level 80.

Damage over time (WvW and sPvP):

(0.035 * Condition Damage) + 10 damage per stack per second.

Damage on skill activation (PvE only):

(0.0375 * Condition Damage) + (0.421875 * Level) + 3.75 damage per stack.
(0.0375 * Condition Damage) + 37.5 damage per stack at level 80.

Damage on skill activation (WvW and sPvP):

(0.0625 * Condition Damage) + 49.5 damage per stack.

Confusion damage is applied on every skill activation, whether activated manually or automatically. For example, necromancers will take confusion damage when they create a Mark of Blood after dodging while equipped with the Mark of Evasion trait.

Related skills

See also: Condition#Related skills

Weapon skills that confuse

Underwater weapon skills that confuse

Utility skills that confuse

Elite Skills that confuse

Skills with special conditions that confuse

Downed skills that confuse

Combos that confuse

Skills that remove confusion

Healing skills that remove confusion

Related traits

See also: Condition#Related traits

Traits that apply confusion

Traits that improve confusion

Traits that remove confusion

Related effects

Effects that confuse

Related equipment

See also: Condition#Related equipment

Upgrade components that apply confusion


Upgrade components that affect confusion


Player Chatter

When confusion is applied to a character they will occasionally shout out one of the following lines, depending on their race and gender.

Race Gender
Male Female
Asura tango icon 20px.png Asura My mind is scrambled! Where am I?
Charr tango icon 20px.png Charr I can't remember my orders! Can't remember my orders!
Human tango icon 20px.png Human Where am I? What's going on?
Norn tango icon 20px.png Norn Is this... a dream? How many ales have I had?
Sylvari tango icon 20px.png Sylvari Everything's so blurry. Oh, what's happening?

Version history

Patch Changes
August 09, 2017
  • Base damage has been increased to match bleed's base damage; skill-activation damage has been reduced to compensate for this.
    • This change only applies to PvE.
February 22, 2017
  • Fixed a bug in which the player could take a massive amount of damage if holding a ranged autoattack down while their target is behind them.
June 23, 2015 Specialization update:
  • All damage conditions will now stack up to 1500 times.
  • This condition now has two damage components - damage over time, and the damage dealt when an ability completes.
  • The damage has also been normalized between all game modes.
  • The formula for this condition has been rescaled to account for the new behavior of damaging conditions and to put more focus on the condition damage stat.
  • The skill-use damage will also now trigger when the affected target is interrupted during skill activation.
  • New damage over time: 2 + (0.1 * Level) + (0.035 * Condition Damage)
  • New trigger damage: 3.5 + (0.575 * Level) + (0.0625 * Condition Damage)
  • Boon to Condition Conversion: Retaliation converts to 3 stacks of confusion for 5 seconds (+2 stacks).
January 27, 2015
  • The effect of condition damage on confusion has been increased by 33% in PvE.
June 25, 2013
  • Fixed confusion to no longer fire extra times on skills due to hidden script actions.
April 30, 2013
  • WvW: Updated confusion and retaliation effects to do the same damage as they do in sPvP.
August 28, 2012 Game release:
  • Confusion has been added to the game.