This item is acquired in-game. See its sources below.
Your harmful abilities have a chance to cause you to summon a Laughing Skull Berserker to fight by your side for 12 sec.
Spell effects bound to this item, from first-party game data.
Maniacal Grimace is not traded on the Auction House, so it has no Auction House price. Its first-party game data (identity, effects and sources) is read from the official World of Warcraft client build.
Sha'tari ProtectorRead from the World of Warcraft client build files.
The 7 items nearest to Maniacal Grimace (item level 44) in item level among Armor > Miscellaneous, Trinket slot, from item level 39 to 52.
| Item | Item Level | Requires Level | Stats | Lowest Listed Price |
|---|---|---|---|---|
| Maniacal Grimace (this item) | 44 | 37 | +13 Mastery | Not listed |
 Savage Tarot | 43 | 39 | +8 Agility or Strength or Intellect. Crafted with Draenor Inscription | Not listed |
 Prophecy Tarot | 46 | 40 | +13 Versatility, +13 Critical Strike, +13 Mastery. Crafted with Legion Inscription | Not listed |
 Laughing Tarot | 42 | 37 | +8 Agility or Strength or Intellect. Crafted with Draenor Inscription | Not listed |
 Ocean Tarot | 41 | 35 | +8 Agility or Strength or Intellect. Crafted with Draenor Inscription | Not listed |
 Ghost Iron Dragonling | 39 | 33 | Crafted with Pandaria Engineering | Not listed |
 Endless Tincture of Renewed Combat | 52 | 45 | +15 Versatility. Crafted with Kul Tiran Alchemy | Not listed |
 Siren's Alchemist Stone | 52 | 45 | +15 Versatility. Crafted with Kul Tiran Alchemy | Not listed |
Endless Tincture of Renewed Combat has the highest item level here (52).
Next item levels up from Maniacal Grimace among Armor > Miscellaneous, Trinket slot: Darkmoon Deck: Void (item level 90), Darkmoon Deck: Hunt (item level 90), Darkmoon Deck: Rot (item level 90), Thalassian Competitor's Medallion (item level 197) and Thalassian Competitor's Insignia of Alacrity (item level 197).
Nearest lower item levels below Maniacal Grimace among Armor > Miscellaneous, Trinket slot: Mercurial Stone (item level 31) and High-Powered Flashlight (item level 27).
Built from the World of Warcraft client build files and recorded Auction House snapshots.
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