Skaen's Totem pieces include the following: the Schemer's Offering, Sacrificial Dagger, Idol of Covert Plots, Idol of Secret Hatred, Idol of Violent Rebellion, Obsidian Prayer Beads, and Effigy ...

Atal'ai Blood Ceremony Item Level 55 Binds when picked up Trinket Requires Level 50 Use: A sacrificial dagger, engraved with a chant for an ancient Atal'ai blood ceremony. (1 Min Cooldown ...