Several months ago, Amazon made a slew of changes following the New World Preview event. Among these was a change to gems that seems to have gone mostly overlooked.
While gems previously provided attribute points, the now provide specific perks to weapons and armor. And, since gems can be swapped, this essentially creates a system where players can swap to the perks they need/desire for a different content, without having to swap to an entirely different set of armor.
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Another video said that there would be a gemstone that would base weapon damage off focus by a percentage so healers would have more independence. Any word on that?