- 10 are available for purchase from Chancellor Wellager in Drangleic Castle for 2,500 souls each.
- In addition to other restorative items, one Old Radiant Lifegem is granted to the player if Healing Wares are chosen as a starting gift.
- Drop from Corpse Rats in the Grave of Saints.
- Drop from Lindelt Clerics in the Shrine of Amana.
- One beside a chest near the fog gate to the Old Dragonslayer in the Cathedral of Blue.
Restores 1,300 HP over 29 seconds.
Old Radiant Lifegems may not be used to heal during PvP.