Blood Thorn vs Sanguine Highlight

How close are they?

ΔE 8.5, close: similar, with a visible difference side by side. Sanguine Highlight is a little lighter, more muted than Blood Thorn.

Can I use Sanguine Highlight instead of Blood Thorn?

Usually, if you are not matching paint already on the model. Close match (ΔE 8). Sanguine Highlight is a little lighter, more muted than Blood Thorn.

Can I use Blood Thorn instead of Sanguine Highlight?

The same difference applies the other way round: Blood Thorn is a little darker, more saturated.

ΔE is the colour difference between our two swatch estimates: under about 6 is close, over about 15 is loose. Real paints also differ in finish, coverage and how they thin, so test before you commit.