There are no objects in it, save for the Half-Eaten Guard which drops a lore book called Ghom's Log. The combat takes place in The Larder, in a relatively large room with four indestructible pillars. He must be killed to stop the siege of Bastion's Keep. Ghom features as the first boss in Act III of Diablo III. Sister Frances of the Alliance of the Dying Sun wondered how the garrison would make it through the next season. Before he died, however, Ghom had spoiled all of the fortress's stored food. However, The Nephalem, under the command of Tyrael, defeated his minions on the way to the larder, and successfully dispatched the Lord of Gluttony, preventing Azmodan from achieving victory from below the keep.

When Azmodan's infernal siege engines breached the Keep's walls, Ghom was sent forth to spearhead the assault from within the Keep. He was among Azmodan's forces that laid siege to the fortress. On Sanctuary, Ghom was faced with a new enemy-humanity, specifically those serving at Bastion's Keep. Ghom once devoured six angels in a single swallow - spears included. Like all demons, he fought the forces of Heaven in the Great Conflict. Ghom was a powerful demon in service of Azmodan. That reeking demon must have spoiled all of the food.' '.can hardly breathe! I do not know how the garrison will make it through the next season.

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