The Fresh Serpent Viscera is an item you’ll need for one of the Endings in Sekiro: Shadows Die Twice. This page will detail how to get it.
The first step to receiving this integral item is making sure you’ve progressed your character up to receiving the Mortal Blade. To do this you’ll need to defeat Genichiro Ashina on top of the Ashina Castle, then head through the Abandoned Dungeon, into the Senpou Temple, and defeat the Folding Screen Monkeys. After defeating them, you’ll gain access to the Inner Sanctum and the Mortal Blade, along with the necessary Ninjutsu ability Puppeteer, once you have this make your way to the Mt. Kongo Sculptor‘s Idol.
From the Sculptor‘s Idol head through the open door and toward the bridge. Going to the area below this, you’ll see a Senpou Assassin standing by the controls of a kite. Deathblow him with stealth from behind, then use the Ninjutsu Puppeteer ability to get him to raise the kite.
With the kite raised, make your way to it. Head up to the first temple with three monks standing outside it. Head through the open window of the temple and use your grappling hook to get to the top of the large tree there. Grappling to the kite, you can cross the valley. Once on the other side, you can travel along the cliff edge and eventually find a cave with a Sculptor‘s Idol. Continue through the cave to reach an overhang above the Great Serpent.
You can probably take it from here, but we’ll walk you through it. Jump off the ledge and use a plunging deathblow on the Great Serpent, which will trigger a second deathblow that will finally put an end to the problematic python.
For ending the Great Serpent, you’ll be rewarded with the Fresh Serpent Viscera, along with a Trophy. This item is part of the optional ending in Sekiro along with the Dried Serpent Viscera, which you can find information on here.
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