Rot Essence: Surgeons | Sekiro Shadows Die Twice Wiki

Rot Essence: Surgeons
Somewhere, a pained cough rings out continuously.  The coughing and wheezing are coming from a deeply troubled pair of researchers who are nonetheless tireless in their work. Both are coughing at once. Owning this item reduces one's chance of receiving Unseen Aid.

Rot Essence: Surgeons is a Key Item in Sekiro: Shadows Die Twice. It is a key item received after dying multiple times that reduces the chance of receiving Unseen Aid. 

Acquiring Rot Essence: Surgeons

• Rot Essence is automatically acquired after dying multiple times and afflicts a random NPC that you have spoken to, blocking you from progressing their quest.  The name indicates which NPCs are afflicted; in this case, Doujun and his mysterious boss, Dosaku are afflicted.  The player cannot progress Doujun's questline while the surgeon is incapacitated. 

Rot Essence: Surgeons Notes & Tips

• Each rot essence affects a specific NPC, when that NPC has the essence their quests cannot be progressed.
• Dragonrot can be cured by collecting a Dragonrot Blood Sample and providing it to Emma at the Dilapidated Temple.
• Offer the Dragon's Blood Droplet and a Recovery Charm given by Emma at a Sculptor's Idol to heal those afflicted with the disease.