Just like many high-tier Diablo 4 items, Bloodless Scream is not guaranteed to Diablo 4 Gold drop from any single source. Instead, Diablo 4 uses a randomized loot system, where item drops are determined by factors such as enemy type, location, difficulty level, and RNG (random number generation). Here are the most efficient ways to obtain Bloodless Scream: Random Drops in the World Bloodless...