In order to obtain the Hand of Charon, the player must first locate a Dormant Hand around the map, which the Oracle will provide a cryptic clue to a location of one. Once the player obtains one, the player must bring it to the Shrine of Charon in the Python Pass and place it on the shrine. The player will be condensed in a small circular barrier and must survive until the barrier disappears. The Fallen Hand of Charon can now be grabbed from the shrine.
The player can now begin the process of upgrading the Fallen Hand of Charon. First, the player must go to the River of Sorrows and get kills with the Fallen Hand of Charon in the water in front of the Odin statue. Once the player has gotten enough kills, the player will be prompted to drink the water. Upon drinking the water, the player will now have a red effect on the edge of their screens and they will not be able to regenerate health. The player must now search for three of Charon's Obols, which will be highlighted by the vision. These three obols can all be found in the demonic area of the map. The player will encounter several fake obols, which the player can extinguish in order to help find the real obols.
Once all three obols are found, the player can bring them to the shrine, which will allow the player to teleport to the Shadow's Bank, where the player must now use the Redeemed Hand of Charon to kill zombies. Once enough zombies are killed, the player can exit the area with the Redeemed Hand of Charon.
The Hand of Charon will shoot a small blob of blood magic, which will manifest into a portal in the ground, which will cause zombies to be dragged into the Underworld. With the Redeemed Hand of Charon, the player can create larger and stronger blobs when charging the weapon, which will attract more zombies.