Direct Damage is damage immediately inflicted on the target when hit, as opposed to Damage over Time, which is dealt over a short period of time. In Titan Quest, direct damage types are: * Physical Damage (in tooltips: Damage) * Pierce Damage * Fire Damage * Lightning Damage * Cold Damage * Elemental Damage (1/3 Fire, 1/3 Lightning, 1/3 Cold) * Vitality Damage