Brainhew is a Unique Great Axe in Diablo 2 Resurrected (D2R). This normal Axe has a quality level of 34 and a treasure class of 24. An important benefit coming from Brainhew:
  • Each physical attack will restore a percentage of character's mana.
BrainhewBrainhewGreat Axe
Two-Hand Damage: 27 - 30 to 45 - 54
Durability: 50 of 50
Required Dexterity: 39
Required Strength: 63
Required Level: 25
Increased Melee Range: 2
Base Attack Speed: -10
+(50 - 80)% Enhanced Damage
+14 to Minimum Damage
Adds 15-35 Fire Damage
(10 - 13)% Mana stolen per hit
+25 to Mana
+4 to Light Radius
Trade items on d2trader.net

How to obtain Brainhew

The fastest way to get this item on Battle.net is via trading, you can use the Item Price Checker to see how much Brainhew is worth.
Farming it by killing monsters is possible, check the drop rate table below for more information.
It can also be gambled but the chances are very slim.

Brainhew drop rate table

The monster with the highest drop chance of dropping Brainhew is Diablo on Normal difficulty in The Chaos Sanctuary of Act 4. Farming the monsters listed below gives you the highest chance of finding that item.

Brainhew variants

Below is a list with different variants of Brainhew. See the stats of its normal, ethereal or upgraded variant.