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Decay is sometimes referred to as the "sixth element". It can be seen as the opposite of Spirit, the fifth element.[1]

Unlike Spirit, which is used to communicate with the elements and/or heal, Decay binds the elements to one's will, forces them into servitude and weaponize them. This is also the main reason why dark shamans are able to use the elements (in a twisted form nonetheless) even without asking the elements for permission.[1]

The Shadowlands are described as nightmarish realms of decay,[2] and the Emerald Nightmare as a realm of death, decay, and nightmare.[3]