Upgrading your health is crucial for survival in Doom: The Dark Ages to tackle challenges and fight demons effectively.Improving health involves defeating stronger demons, collecting their essence, and upgrading in Sentinel Shrines.Health upgrades are obtained by defeating leaders who grant Demonic Essence, identifiable by a blue plus sign above their heads.The first leader, Hebeth, is found in the second level and defeating them involves overcoming challenges like armor removal and careful strategy.