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That being the case that's the case, let's take a look how to find and D2R Items take down Ancient Nightmare and Lord Martanos.
In a rather confusing twist of events Lord Martanos seems to spawn every 30 minutes. Even though that could mean that he spawns every 30 set minutes within a set timeframe (so 7:15, 7:30, 8.00, etc.) it's not entirely impossible that his timer can be just a bit off from time to time. If you remain in the place for a long time, however you'll be alerted when he's made a new spawn.
The battle against Martanos isn't particularly difficult when with respect to similar games in the Diablo Immortal bosses. His health pool is incredibly massive, but when you've gotten some help from a handful of other players, you are likely to be able to take his down using simple attack and defensive strategies. It's possible to even out him if you're strong enough (though it's rare and will likely take long).
While Lord Maranos may drop a variety of random rewards, the one that you're interested in is his most likely drop: a Zakarum Sigil. Why is that drop important? The reason is that they help make the fight in the fight against Ancient Nightmare just a touch less difficult.
In the beginning, it's important to know about the fact that Ancient Nightmare Diablo 2 Resurrected Items can only be found on Wednesdays and on Fridays at 12pm at 8:30 pm, 12 pm, and 10:30 pm (local server time). If you're looking for the boss in any other hour, you'll be sorely frustrated by what you do not discover.