What the two upgrade types do
Section titled “What the two upgrade types do”- Revered Gland: increases the number of healing items you can carry.
- Synaptic Vessel: increases how much each healing use restores.
Current launch coverage reports 21 total upgrades: 11 Revered Glands and 10 Synaptic Vessels. Two are purchases from Merrick; the remaining 19 are route pickups, dungeon rewards, or boss rewards.

All 21 healing-upgrade locations
Section titled “All 21 healing-upgrade locations”Use the nearest Beacon or named area as your route anchor. The numbering is a checklist order from current guide coverage, not a mandatory collection route.
| # | Upgrade | Beacon / area | Location |
|---|---|---|---|
| 1 | Revered Gland | Marrow Keep | Buy from Merrick for 1,500 coin. |
| 2 | Synaptic Vessel | Marrow Keep | Buy from Merrick for 1,500 coin. |
| 3 | Synaptic Vessel | Stonebled Gate | South of the Beacon, beside the camp fire and boxes. |
| 4 | Revered Gland | Nocthean Gate | At the end of Thieves Retreat, north of the Beacon and one level down. |
| 5 | Revered Gland | Mushroom Village | Inside Holding Cells, entered through a well northwest of the Beacon. |
| 6 | Synaptic Vessel | Mushroom Village | North of Deserted Mine, on the east edge of the Trial Obelisk’s stone circle. |
| 7 | Synaptic Vessel | Outskirts of Nochte | South of the Beacon, inside the north interior of the upper castle area. |
| 8 | Revered Gland | One Legged Wolf | Pale Grisha reward at the end of Grisha Hunting Grounds, northwest past the ruins. |
| 9 | Revered Gland | Widow’s Overlook | South of the Beacon, beside a body near the western cliff edge. |
| 10 | Revered Gland | Citadel of Penance | Southeast of the Beacon, behind a breakable wooden wall in the southwestern outer-castle corner. |
| 11 | Synaptic Vessel | Citadel of Penance | Behind the gate opened by the button opposite Eredrim’s former position. |
| 12 | Synaptic Vessel | One Legged Wolf | Through the eastern jump into Temple of Vatra, right before the large staircase. |
| 13 | Synaptic Vessel | Sester’s Gate | At the far back wall near boxes, past the long bridge with the bell-shooting route. |
| 14 | Synaptic Vessel | Gate of Infinity | At the first bookshelf climb point, on the left as you enter. |
| 15 | Synaptic Vessel | Castigator’s Keep | South of the Beacon, in the central courtyard. |
| 16 | Revered Gland | Abbey Entrance | In the cave east of town, behind the door opened by destroying three glowing tombstones. |
| 17 | Synaptic Vessel | Abandoned Outpost | In the Slums, among tombstones north of the western church building. |
| 18 | Revered Gland | High Lord’s Courtyard | In the central long building on the south side of the outer courtyard, in front of a statue. |
| 19 | Revered Gland | Sunken Village | In the container down the hill behind you, after cleansing the Beacon. |
| 20 | Revered Gland | Prisoners’ Domain | Past the toppled statue, beyond the iron-maiden room. |
| 21 | Revered Gland | Sanguine Shoreline | In a cave along the main path after the first open area. |
The gated pickups
Section titled “The gated pickups”Thieves Retreat — Nocthean Gate
Section titled “Thieves Retreat — Nocthean Gate”From Nocthean Gate Beacon, head north and drop one level. Use the switch to open the dungeon route, then follow the invisible walkways. The suspended bodies are the reported visual landmarks for the route to the Revered Gland.
Holding Cells — Mushroom Village
Section titled “Holding Cells — Mushroom Village”From Mushroom Village Beacon, go northwest to the route that enters Holding Cells. Use Mether’s Breath on the corruption blocking the jump pad, enter through the well, and find the button behind the boxes to open the Revered Gland room.
Pale Grisha — One Legged Wolf
Section titled “Pale Grisha — One Legged Wolf”Reach Grisha Hunting Grounds northwest past the ruins from the One Legged Wolf area. The Revered Gland is the reported reward for defeating Pale Grisha.
Citadel of Penance
Section titled “Citadel of Penance”For the Revered Gland, go southeast of the Beacon to the southwestern outer-castle corner and break the wooden wall. For the Synaptic Vessel, find and press the button on the wall opposite Eredrim’s former position to open the nearby gate.
Abbey Entrance
Section titled “Abbey Entrance”Enter the cave east of town and destroy all three glowing tombstones. The door to the Revered Gland opens after the third tombstone.
Sunken Village
Section titled “Sunken Village”Cleanse the Sunken Village Beacon first. Then turn around, walk down the hill, and check the container behind you.
Prisoners’ Domain
Section titled “Prisoners’ Domain”Follow the main path to the giant statue. Destroy the pots at its base to topple it, then pass the iron-maiden room to reach the Revered Gland.
How to check whether you collected one
Section titled “How to check whether you collected one”There is no reported collection counter for these upgrades. Fast-travel back to the named location: if the pickup is gone, it was collected. Your healing item should also show the result—more charges for a Revered Gland or greater restoration for a Synaptic Vessel.
LootMap separately reports a 15-marker “Healing Upgrades” layer and 12 “Devout’s Chalice” artifacts. Do not add those artifact chalices to this 21-item Gland/Vessel checklist; current coverage treats them as a different map-layer category.
Are healing upgrades missable?
Section titled “Are healing upgrades missable?”Current launch coverage reports that none of the 21 are missable and that uncollected upgrades remain available during free roam after the final boss. Treat that as current guide reporting rather than a permanent guarantee for every future patch.
Common mistakes
Section titled “Common mistakes”- Counting Devout’s Chalices as Revered Glands or Synaptic Vessels.
- Forgetting the 1,500-coin Merrick purchases in Marrow Keep.
- Entering Holding Cells without first clearing the corruption at the jump pad.
- Leaving the Sunken Village route before cleansing its Beacon.
- Missing the Citadel button because the Vessel is not behind the same wooden wall as the Gland.
- Expecting a collection counter to track the 21 pickups.
What happens next
Section titled “What happens next”For the progression gates that unlock several of these routes, see the Ova guide. The New Game Plus guide explains why Revered Glands and Synaptic Vessels are reported to respawn in a later run.
Sources
Section titled “Sources”- AllThingsHow — Every Healing Upgrade Location (21 Total) — 21-item list, upgrade effects, route gates, Merrick prices, and post-boss availability, updated 2026-08-18.
- LootMap — Healing Upgrades: All 15 Chalice Locations — separate 15-marker Healing Upgrades layer and Devout’s Chalice artifact distinction, build 24841087, updated 2026-08-21.