This item is acquired in-game. See its sources below.
An Epic Trinket, item level 197, requires level 78, binds when picked up.
First seen in build 12.1.0.69273 (Midnight (patch 12.1.0)).
Taking damage has a high chance to cause you to spew venomous bile, dealing Nature damage split among nearby enemies. You then reabsorb the bile, gaining Leech per affected enemy, up to, for 8 sec.
Spell effects bound to this item, from first-party game data.
Toxiferous Transfusion carries Agility or Strength, the primary stat of Arms, Fury and Protection Warrior; Protection and Retribution Paladin; Beast Mastery, Marksmanship and Survival Hunter; Assassination, Outlaw and Subtlety Rogue; Blood, Frost and Unholy Death Knight; Enhancement Shaman; Brewmaster and Windwalker Monk; Feral and Guardian Druid; Havoc and Vengeance Demon Hunter.
The 4 items nearest to Toxiferous Transfusion (item level 197) in item level among Armor > Miscellaneous, Trinket slot, from item level 197 to 220.
| Item | Item Level | Requires Level | Stats | Lowest Listed Price |
|---|---|---|---|---|
| Toxiferous Transfusion (this item) | 197 | 78 | +50 Agility or Strength | Not listed |
 Thalassian Competitor's Medallion | 197 | 70 | +50 Agility or Strength or Intellect. Crafted with Midnight Inscription | Not listed |
 Thalassian Competitor's Insignia of Alacrity | 197 | 70 | +63 Haste. Crafted with Midnight Inscription | Not listed |
 Thalassian Competitor's Emblem | 197 | 70 | +50 Agility or Strength or Intellect. Crafted with Midnight Inscription | Not listed |
 Darkmoon Deck: Blood | 220 | 90 | +62 Agility or Strength or Intellect | Not listed |
Darkmoon Deck: Blood has the highest item level here (220).
Next item levels up from Toxiferous Transfusion among Armor > Miscellaneous, Trinket slot: Draconic Combatant's Insignia of Alacrity (item level 330), Draconic Combatant's Emblem (item level 330), Shadowed Essence (item level 571), Darkmoon Deck: Radiance (item level 577) and Darkmoon Deck: Symbiosis (item level 577).
Nearest lower item levels below Toxiferous Transfusion among Armor > Miscellaneous, Trinket slot: Darkmoon Deck: Void (item level 90), Darkmoon Deck: Hunt (item level 90), Darkmoon Deck: Rot (item level 90), Endless Tincture of Renewed Combat (item level 52) and Siren's Alchemist Stone (item level 52).
Built from the World of Warcraft client build files and recorded Auction House snapshots.
Toxiferous Transfusion uses icon file 987740, which 2 other items also use. The 2 closest by item ID:
Venom-Cursed Fragment ID 279382 · MiscellaneousDripping Fangs ID 174492 · Quest "Boneweave venom was often used by the House of Eyes."Blizzard numbers items as they are created, so the named items next to ID 274499 (274494 to 274509) were usually added in the same batch as Toxiferous Transfusion: the same quest line, zone, vendor or reward set.
Chiral Marrowgrafter ID 274494 · Armor · item level 197
Pulse Seeker's Oculus ID 274495 · Armor · item level 197
Ophidian Bone Whistle ID 274496 · Armor · item level 197
Spirit-Rending Poison ID 274497 · Armor · item level 197
Spirit Ward ID 274498 · Armor · item level 197
Demystifyin': Alchemy ID 274500 · Miscellaneous "An article depicting all the ways artisan crafters improve their skills."
Shrine of Akil'zon, Loa of Victory ID 274505
Demystifyin': Leatherworking ID 274507 · Miscellaneous
Demystifyin': Skinning ID 274508 · Miscellaneous
Demystifyin': Mining ID 274509 · MiscellaneousThe raw ItemSparse values for item 274499 in the current client build.
Read from the World of Warcraft client build files: Item, ItemSparse, Lock, Holidays, AreaTable and CollectableSourceVendor.
TheWoWDB