They can be found in Crimson Chests, which can be found in the Dungeon. In order to open the chest, the player will need a Crimson Key. The Knives do not go forever, when standing still, the Knives will spin and fade just outside the screen.
A portion (~7%) of the damage dealt will be returned as health to the user. The knives can hit multiple enemies or hit a single large enemy multiple times. 4-8 Vampire Knives can be thrown at a time. For example:
- One of the Knives hits an enemy and deals 90 damage, but 7% of this damage (i.e., 6) is returned to the player as HP. This permits effective invincibility, due to constant healing — as long as the player continues to throw the Knives. They are capable of healing almost all damage inflicted to them fairly quickly.
The Knives have a huge, and seemingly random spread, making aiming them all very difficult. Despite this, it's fairly easy to survive most encounters and out-heal any damage that may be received. Especially from bosses, where the lifestealing properties of this weapon can be seen in full effect.
However, continued use of the Knives can be extremely disorienting with all that's going onscreen. It can be difficult to discern where enemy projectiles or ranged attacks may be, and the player could die from not being able to see their character among the knife storm and healing beams while they are dealing damage.
If using a Mage, Ranger or Summoner-based armour and accessory loadout, the Knives aren't a very effective healing source since they won't get enough of a damage boost to be healing more than damage taken (1 or 2 per knife) as compared to if you were using them with a Melee-based loadout. (2-4+ per knife).
- The Knives can be thrown through walls that are only a block thick as long as the player is pushing against the wall.
- The Knives will fly straight for a given time, and then start to spin in the air (still moving forward).
- Due to their healing effect, the Vampire Knives are an extremely effective weapon against Bosses.
- Healing is not activated in PvP combat, except on mobile version.
- Since Crawltipede's defense is in minus, this amplifies the amount of healing player gets.
- This weapon is likely a reference to Dio Brando from JoJo's Bizarre Adventure; a time-stopping vampire who throws knives in an identical fashion. Specifically, this is much like Shadow Dio's knife throw from the arcade fighter of the same name, whose knives fan out in a manner similar to this weapon.
- The Vampire Knives may alternately be a reference to Sakuya Izayoi from the popular Japanese series of games Touhou Project, first appearing in the 6th game, The Embodiment of Scarlet Devil. Sakuya serves a vampire, Remilia Scarlet, and is capable of throwing torrents of knives due to her ability to stop time. Many fans also believe that Sakuya herself is a reference to Dio Brando.
- Fixed issue where Death Sickle and Vampire Knives would not animate properly on other players in multiplayer.
- Can no longer have prefixes that increase size.
- Items which regenerate health per hit now have a cap of 2 hearts per second.
- Slightly nerfed damage, use time, life steal, and knockback.
- Added to the game.