With three different available difficulties, Elden Ring Ascended adds plenty of changes to the base game:
-Enemies' physics and AI changed
-New armour set effects on each piece
-New Talismans' effects
-New weapons' effects
-New enemies' status debuffs
-Altering armours gives different effects
-Spells', Items', and Weapon Arts' buffs stack
-Changeable Weapon Arts on each weapon