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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. The damage on skill activation is greater against NPCs than against players. 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.

The formulae for confusion's damage are:

Damage over time in PvE:

(0.05 * Condition Damage) + (0.213 * Level) + 1.45 damage per stack per second.
(0.05 * Condition Damage) + 18.25 damage per stack per second at level 80.

Damage over time in WvW and PvP:

(0.1 * Level) + 2 damage per stack per second.
10 damage per stack per second at level 80.

Damage on skill activation in PvE:

(0.0325 * Condition Damage) + (0.17 * Level) + 2.74 damage per stack.
(0.0325 * Condition Damage) + 16.34 damage per stack at level 80.

Damage on skill activation in WvW and PvP:

(0.0975 * Condition Damage) + (0.575 * Level) + 3.5 damage per stack.
(0.0975 * Condition Damage) + 49.5 damage per stack at level 80.

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[edit]

See also: Condition#Related skills

Skills that apply confusion[edit]

Weapon skills that apply confusion

Bundle skills that apply confusion

Utility skills that apply confusion

Elite skills that apply confusion

Profession mechanic skills that apply confusion

Pet skills that apply confusion

Downed skills that apply confusion

Drowning skills that apply confusion

Racial skills that apply confusion

Common skills that apply confusion

Skills that remove confusion[edit]

Healing skills that remove confusion

Related traits[edit]

See also: Condition#Related traits

Traits that apply confusion

Traits that improve confusion

Traits that remove confusion

Traits that convert resolution into confusion[edit]

Primary article: Condition#Traits that convert boons into conditions

Related effects[edit]

Effects that confuse[edit]

Related equipment[edit]

See also: Condition#Related equipment

Relics that apply confusion[edit]

Upgrade components that affect confusion[edit]


Related consumables[edit]

See also: Food#Confusion

Player chatter[edit]

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[edit]

Patch Changes
June 27, 2023
  • Confusion damage has been adjusted as follows in PvE only:
    • Damage over time: Increased the base damage from 11 to 18.25. Increased condition damage scaling from 0.03 to 0.05.
    • Damage on skill activation: Reduced base damage from 49.5 to 16.34. Reduced condition damage scaling from 0.0975 to 0.0325.
August 17, 2021
  • In PvE only, the damage over time caused by each stack of confusion has been increased from a flat 10 (at level 80) to 11+0.03 per point of condition damage. Damage dealt to all targets when they activate a skill has been reduced by 50%, matching the current damage in PvP and WvW game modes.
March 05, 2019
  • No longer deals damage when a skill is prevented from activating due to an invalid position of the target relative to the caster.
May 08, 2018
  • This condition has been reworked and will now inflict more damage to nonplayer enemies than players instead of being split between game modes.
February 06, 2018
  • Heavily reweighted damage from this condition's base damage-over-time component to the damage-on-skill-use component.
  • The condition-damage contribution has been removed from the damage-over-time component and redistributed into the damage-on-skill-use component.
  • This condition remains split between PvE and PvP/WvW
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.