The Graft system is one of PoE 3.27's most innovative features. Graft items are special equipment pieces that can be implanted onto your character, providing permanent or semi-permanent bonuses and new active abilities. This system integrates deeply with the Genesis Tree and creates a unique long-term progression path.
What Are Graft Items?
Graft items are special equipment that functions like implants - once equipped, they become part of your character. Unlike regular items, Grafts provide both passive stat bonuses and active abilities that can fundamentally change how you play.
Graft Types
Grafts come in several categories:
- Limb Grafts: Replace or enhance your character's limbs (arms, legs) - provide active skills
 - Organ Grafts: Internal modifications (heart, brain) - provide passive bonuses
 - Skin Grafts: External enhancements - provide defensive bonuses
 - Specialized Grafts: Unique grafts that interact with specific mechanics like Breach
 
                How to Cultivate Graft Items
Obtaining Grafts
Graft items are obtained through several methods:
- Genesis Tree Rewards: Unlock Graft nodes on the Genesis Tree
 - Breach Rewards: Complete Breach encounters for Graft drops
 - Boss Drops: Pinnacle bosses can drop high-tier Grafts
 - Graftblood Synthesis: Combine Graftblood at the Genesis Tree to create Grafts
 
Cultivation Process
Once you have a Graft item, you need to cultivate it:
- Equip the Graft in your Graft slot (separate from regular equipment)
 - Use Graftblood to upgrade the Graft's power level
 - Complete specific objectives to unlock the Graft's full potential
 - Higher-tier Grafts require more investment but provide significantly more power
 
Passive and Active Effects
Passive Effects
Most Grafts provide passive bonuses:
Example: Breach Arm Graft
- +50% increased Breach monster damage
 - 10% chance to gain Graftblood on Breach kill
 - Breach rewards have 20% increased rarity
 
Active Effects
Some Grafts grant active skills:
Example: Graft Heart Active
- Active Skill: Graftblood Surge
 - Consumes Graftblood to restore 50% of maximum life
 - Cooldown: 30 seconds
 - Provides emergency healing in tough encounters
 
                Optimal Graft Combinations
Synergistic Combinations
Some Grafts work exceptionally well together:
Breach Specialist Build
- Breach Arm: Collect Graftblood from Breaches
 - Graft Heart: Use Graftblood for healing
 - Genesis Mind: Increased Graftblood efficiency
 - Result: Self-sustaining Breach farming build
 
Long-Term Cultivation Strategies
Early League Approach
- Focus on generic Grafts first (item quantity, survivability)
 - Collect Graftblood from all available sources
 - Prioritize Grafts that enhance your current build
 
Late League Optimization
- Transition to specialized, build-defining Grafts
 - Maximize Graft power levels for maximum effectiveness
 - Optimize Graft combinations for your specific build
 - Farm high-tier Grafts from Pinnacle bosses
 
Synergy with Genesis Tree
Graft items and the Genesis Tree work hand-in-hand:
- Genesis Tree Nodes: Many nodes enhance Graft effects
 - Graftblood Collection: Grafts help you collect Graftblood for Tree progression
 - Synergistic Bonuses: Tree nodes and Graft effects stack multiplicatively
 
Advanced Tips
Graft Swapping Strategies
While Grafts provide permanent bonuses, you can swap them:
- Use different Graft sets for different content types
 - Keep specialized Grafts for specific encounters (bosses, mapping)
 - Some Grafts have cooldowns after swapping - plan accordingly
 
Conclusion
The Graft items system in PoE 3.27 "Keepers of the Flame" represents a revolutionary approach to character progression. By carefully selecting, cultivating, and combining Grafts, you can create powerful character enhancements that persist throughout the entire league. Invest time in understanding this system - it's one of the most rewarding long-term progression mechanics in Path of Exile history!