Yes, I had been heavily relying on level geometry to limit mobs, but the Hell geometry is much less forgiving. I also did every side quest and 100% of every level leading down to 13. I have the best gear I can find, afford, or use that’s available as a drop or shop item, including Wirt the Peg-Legged Boy’s items, which have never been fruitful / feasible. The difficulty just seems insane