In Diablo II Resurrected, Heart Carver is part of the Rondel category and one of many unique Knifes in D2R. It is a small item, taking 2 Blocks of space if you want to store it in the inventory or stash. Your character needs to reach at least the Required Level of 36 to carry this item. This Rondel has a Strength Requirement of 25 before it can be used. Another limitation is Dexterity, which should be 58 as the very minimum.
The Rondel is the exceptional version of this Knife. It can be upgraded to the elite version by putting it into the Horadric Cube. After hitting the transmute button it will be called Mithril Point. The most basic (normal) version is called Dirk.
Note: If this item can have sockets, you might be able to get some runes and get one of the runewords as a result - if you place them in the correct order.
Have a look at our builds to find out which items make the most sense for the character you're currently playing.
Below is a list of variations we can get for you from our network of trusted trade partners: