Farming Pincushioned Dolls efficiently in Diablo 4's Torment difficulties demands a solid strategy, as these items are crucial for unlocking Andariel's post-battle hoard rewards. In Torment tiers, drop rates improve significantly, but success hinges on optimizing your build for speed clears and resource management. Focus on repeatable boss encounters that guarantee or heavily favor doll drops while minimizing downtime between runs.
The top method remains defeating the Beast in the Ice within the Glacial Fissure dungeon, located southwest of Kyovashad in Fractured Peaks. Craft a high-level Glacial Fissure Sigil at the Alchemist using Sigil Powder and around 12 Distilled Fear, gathered from Tier 30+ Nightmare Dungeons. Once inside, offer the Fear at the Frozen Altar to summon the boss—clear the fight quickly, then open the hoard chest for a near-guaranteed Pincushioned Doll on Torment I or higher. Repeat this loop for maximum efficiency, aiming for under 10-minute runs with a strong group or optimized solo build; it's the gold standard because of its reliability and scalability across Torment levels.
Lord Zir in the Ancient's Seat dungeon serves as a strong secondary option, especially if you're already farming Exquisite Blood from Legion Events or other Pit bosses. Craft the corresponding sigil, summon Zir with 12 Blood, and check his hoard post-fight for doll chances—drops aren't as consistent as the Beast but pair well in a rotation. In higher Torments, prioritize this when your Fear stocks run low, as it diversifies your material grind without straying far from endgame loops.
For variety, leverage the Tribute of Titans event in Kurast's Undercity, which offers solid doll drop potential alongside other Lair Keys. Activate it with a Tribute of Titans item from high Pit tiers, then push through the timed challenge for rewards—it's the second-best farm due to high throughput in groups. World Bosses provide occasional dolls but suffer from six-hour spawns and low odds, making them a poor primary choice; use them only as opportunistic fillers during alerts.
Torment-specific tips elevate your farming: push to Torment IV+ for boosted rates, equip gear with Resource Generation and Boss Damage affixes, and use Vampiric Powers or Tempering for survivability. Group up via the clan finder for shared summons—only the summoner loots dolls, so rotate duties. Track your hourly doll yield; if below 10, refine your clear speed or switch methods. Stockpile 9-12 dolls before hitting Andariel's Hanged Man's Hall to chain multiple hoards, turning hours of grind into Uber Unique jackpots. With patience, these loops transform Torment into a doll fountain.