Medallion Slots PoE2: 2026 Build and Upgrade Guide

Medallion slots in Path of Exile 2 revolutionize gear in 2026 leagues. Fill 5 slots with jewels for passive boosts.

Step 1: Unlock First Slots

Complete Acts 1-3 trials. Vendor recipe with chromatics.

  • Level 20 req
  • Quest rewards

Step 2: Acquire Medallions

Drop from rares, craft with fossils. PoE2's new atlas tree.

  • Blight encounters
  • Heist contracts

Step 3: Optimal Slot Fills

Damage jewels first, then defenses. Socket synergies.

  • Cluster jewels
  • Threshold jewels

Step 4: 2026 League Mechanics

3.20 adds medallion pinnacles. Trade market tips.

  • Awakened gems
  • Unique medals

Step 5: Advanced Crafting

Harvest reforges for perfect rolls. Bench rerolls.

  • Elevated mods
  • Double corrupt

Common Builds

Lightning Arrow: Speed medals; Tank: Ward slots.

  • Min-max guides
  • PoB links