How to Start Made to Suffer in Diablo Immortal requires reaching level 60. The Taking and Bloodied Jewel do not have to be completed first, although beginning the new chapter before those quests can spoil parts of the story.
The access rule is therefore much simpler than a long prerequisite chain: level 60 is the hard gate, while the earlier Nation of Agony content mainly matters for narrative order and understanding what is happening in Lut Gholein.
How to Start Made to Suffer in Diablo Immortal: The level 60 requirement and story prerequisites
Blizzard says Made to Suffer is available to all players who have reached level 60. No separate Paragon requirement is listed in the major-update announcement, so level 60 is the only published character-level gate. The Taking is not described as mandatory. Blizzard’s warning is specifically about spoilers, which means skipping the quest changes story context rather than blocking the Made to Suffer quest line. How to Start Made to Suffer in Diablo Immortal becomes much clearer once the level 60 gate is separated from Blizzard’s spoiler warning.
Bloodied Jewel is also not a hard requirement. Completing it first is still the cleaner option for players who want Nation of Agony to unfold in the intended sequence without jumping ahead.
How to Start Made to Suffer in Diablo Immortal: Replaying Bloodied Jewel before Made to Suffer
The update lets players replay Bloodied Jewel through the Adventurer’s Book at Cain’s Workshop. Returning players can therefore refresh the earlier quest in game before continuing instead of relying on memory or a recap. For most players, How to Start Made to Suffer in Diablo Immortal simply means meeting the level requirement and following the new main quest.
Where the new story takes you
Made to Suffer sends players deeper into Lut Gholein, introduces more allies and revisits locations connected to Diablo II’s Act II. The High Ward surrounding Sultan Jerhyn’s palace becomes one of the major newly explorable areas. The High Ward contains bounties, objectives and wanted monsters alongside the story. Those activities give the new district a reason to be revisited after the initial quest path is complete.
The new Main Story is one of the confirmed City of Pain token sources from September 17 through September 30. Starting Made to Suffer can therefore progress both permanent story content and the limited event. How to Start Made to Suffer in Diablo Immortal does not depend on City of Pain, a Battleground rank or a special event currency.
What you do and do not need before starting
Blizzard does not list a special key item, Battleground rank, City of Pain completion or full High Ward clear as necessary to begin the main quest. Players who care about spoilers should finish The Taking and Bloodied Jewel first. Players who care only about accessing the update can rely on the confirmed level 60 requirement.
Made to Suffer itself is a level-based story unlock. City of Pain, the Enigma Latera trial and the featured gem pool have their own September start dates and should not be mistaken for quest prerequisites. Once the quest is active, players move into the expanded Lut Gholein storyline while the wider update opens parallel systems around City of Pain, Twisting Torments, new gems and Hero’s Journey. If story order matters, How to Start Made to Suffer in Diablo Immortal is still best approached after The Taking and Bloodied Jewel, even though they are not hard gates.

How to Start Made to Suffer in Diablo Immortal has one clear answer: reach level 60. Finishing the earlier quests first is sensible for story continuity, but Blizzard does not turn those spoiler warnings into extra access requirements.
For returning players, the Bloodied Jewel replay is the simplest way to restore context before accepting Made to Suffer. It is optional for access but useful for understanding the characters and events the new chapter assumes players have already seen. How to Start Made to Suffer in Diablo Immortal is therefore an access question first and a story-continuity question second.
The level gate is separate from the update’s limited-time systems. A character can qualify for Made to Suffer at level 60 even if City of Pain has not started yet, and the Enigma Latera trial is not part of the quest unlock process.
The Bloodied Jewel replay option is especially useful for players who meet the level requirement but have been away from the game. It lets them revisit the previous story through the Adventurer’s Book without turning that replay into a mandatory prerequisite for the new quest. Once the patch is live, How to Start Made to Suffer in Diablo Immortal should not require any extra system beyond the published level requirement.
Blizzard lists these changes in the official Made to Suffer update notes.
