How to upgrade health in Doom: The Dark Ages
Briefly

In Doom: The Dark Ages, upgrading your health is pivotal for surviving demon encounters. Unlike other upgrades, which only require in-game currencies, health improvements necessitate battling and defeating formidable leaders to collect their Demonic Essence. These leaders are identifiable by a blue-hued plus sign above their heads. The first leader is found in Hebeth, where players must first eliminate waves of lesser demons to battle the leader, a tougher variation of the Pinky Rider. Successfully vanquishing these leaders grants permanent health upgrades for the player.
Upgrading your health is crucial for survival in Doom: The Dark Ages, as it significantly increases your chances of staying alive during intense demon battles.
To upgrade health, players must defeat leaders for their Demonic Essence, which is a harder task compared to upgrading weapons or shields.
Read at Polygon
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