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If you've done this correctly, you should now be in a room with a rune and a sinister statue to the far right. When interacted with, this statue will allow you to trade health for damage. You simply need to commit to this trade once, and the Detahmark skill should appear for purchase in your skill tree.
Hehe, best of luck on your future playthroughs!
What's behind the deathmark door? I'm iffy on spending any points into it yet but if there is something useful there I would like to know