You have to use Blood Arrow first - on hit, Blood Arrow has a 33-100% chance to trigger Exsanguinate. You'll see a separate little window pop up when it's been triggered, which you can click on to use it, though you can also use it via the skill bar when it's active.
this post was submitted on 18 Jun 2023
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Lord of the Rings Online
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Ahhh now that makes sense, I saw that in blood arrow but i didn’t understand it. Thank you!