- "Instead of entering Last Stand the Player goes Berserk for 9 seconds. While Berserk, they are invulnerable and melee damage is greatly increased. Afterwards, the Player is left with 1 health. Cooldown increases with every use."
- — Description
Dying Wish, when purchased, will prevent the player from falling into Last Stand. Instead, the player will enter Berserk mode: the screen will turn red and prevent the player from receiving all damage for 9 seconds. After Berserk mode has ended, the player will be left with 1 health. Dying Wish will then need time to be used again, with the cooldown extending after every activation.
When Dying Wish is selected as the "Modifier" perk and the player has all of their other perks, it will give the Player full health after exiting Berserk mode.
- When purchased on Voyage of Despair, IX, Dead of the Night, and Ancient Evil, the altar for Dying Wish seems to depict a viking. This could be a reference to the old Norse Berserker; warriors who fought viciously in a trance-like state (which accurately describes the effect of the Perk on players).