Even though gestures are not an integral part of Elden Ring, players looking to collect everything the game has to offer will get to Extreme Repentance at some point. Being an incredibly well-hidden item, Extreme Repentance is a gesture of plea for mercy and recognition of one's mistake. Of course, falling to your knees in front of the enemy is not something you want to do in any game situation, but the desire to collect every gesture will make many players go looking for it.