This item is acquired in-game. See its sources below.
An Epic Dagger One-Hand, item level 38, requires level 32, binds when picked up. Drops from Yor'sahj the Unsleeping in Dragon Soul.
| Drop | Yor'sahj the Unsleeping in Dragon Soul | 10 Player (Heroic), 25 Player (Heroic) |
|---|
First seen in build 5.5.4.69585 (Mists of Pandaria).
In the Appearances collection, Scalpel of Unrelenting Agony is listed as Boss Drop. Appearance ID: 17146. 1 other item wears the same appearance:
Read from the World of Warcraft client build files.
The in-game Adventure Guide lists Scalpel of Unrelenting Agony in the loot of 1 encounter.
Yor'sahj the Unsleeping in Dragon Soul
Also drops from this encounter (76 other items):
Read from the World of Warcraft client build files (JournalEncounterItem, JournalEncounterCreature, Achievement) and the Blizzard Game Data quest API.
In their in-game specialization descriptions, these specs name daggers among their preferred weapons:
The 10 items nearest to Scalpel of Unrelenting Agony (item level 38) in item level among Weapon > Dagger, from item level 32 to 38.
| Item | Item Level | Requires Level | Stats | Lowest Listed Price |
|---|---|---|---|---|
| Scalpel of Unrelenting Agony (this item) | 38 | 32 | 2.2 DPS, +4 Intellect, +6 Stamina, +4 Versatility, +4 Haste. Boss Drop | Not listed |
 Immaculate Spellblade | 38 | 34 | 2.2 DPS, +4 Intellect, +6 Stamina. World Drop | 2 gold on 73 realms |
 Vitreous Beak of Julak-Doom | 37 | 32 | 2.2 DPS, +4 Intellect, +6 Stamina, +4 Critical Strike, +4 Mastery. World Drop | 8 gold on 60 realms |
 Chelley's Sterilized Scalpel | 37 | 32 | 2.2 DPS, +4 Intellect, +6 Stamina, +4 Critical Strike, +4 Mastery. World Drop | 100 gold on 65 realms |
| Toxidunk Dagger | 36 | 29 | 4.4 DPS, +4 Agility, +6 Stamina, +4 Haste, +4 Critical Strike. World Drop | 23 gold on 53 realms |
 Mereldar Spellblade | 36 | 31 | 2.2 DPS, +4 Intellect, +6 Stamina. World Drop | 20 gold on 53 realms |
 Namlak's Supernumerary Sticker | 35 | 30 | 4.4 DPS, +7 Critical Strike, +3 Agility, +5 Haste. World Drop | 1,961 gold on 51 realms |
 Seduced Blade | 35 | 30 | 2.2 DPS, +4 Intellect, +6 Stamina. World Drop | 1 gold on 62 realms |
 Singing Dagger | 34 | 29 | 2.2 DPS, +4 Intellect, +6 Stamina. World Drop | 1 gold on 60 realms |
| Ced's Carver | 32 | 27 | 4.4 DPS, +3 Stamina, +6 Critical Strike, +4 Agility. World Drop | 268 gold on 66 realms |
 Permafrost Dagger | 32 | 26 | 2.2 DPS, +4 Intellect, +6 Stamina. World Drop | 10 gold on 59 realms |
The lowest listed price among them is Singing Dagger at 1 gold in the US Auction House.
Next item levels up from Scalpel of Unrelenting Agony among Weapon > Dagger: Darkened Slicer (item level 58), Self-Rotating Dagger of Xing (item level 60), Sinister Combatant's Spellblade (item level 60), Plundered Twinbarb Shanker (item level 60) and Plundered Waterspeaker's Spellblade (item level 60).
Nearest lower item levels below Scalpel of Unrelenting Agony among Weapon > Dagger: Vorpal Dagger (item level 26), Widowmaker (item level 25), Gutwrencher (item level 25), Dreadblade (item level 25) and Sacrificial Kris (item level 24).
Built from the World of Warcraft client build files and recorded Auction House snapshots.
2 other items in the current build are also called Scalpel of Unrelenting Agony. Same-name entries are usually a different rank, faction, quest stage or reward track of the same object.
Scalpel of Unrelenting Agony ID 77219 · Weapon - Dagger · item level 37Scalpel of Unrelenting Agony ID 78410 · Weapon - Dagger · item level 37Scalpel of Unrelenting Agony uses icon file 571786, which 8 other items also use. The 5 closest by item ID:
Scalpel of Unrelenting Agony ID 78410 · Weapon - Dagger · item level 37Electrowing Dagger ID 78414 · Weapon - Dagger · item level 38Electrowing Dagger ID 78422 · Weapon - Dagger · item level 37Electrowing Dagger ID 77220 · Weapon - Dagger · item level 37Scalpel of Unrelenting Agony ID 77219 · Weapon - Dagger · item level 37Blizzard numbers items as they are created, so the named items next to ID 78404 (78399 to 78409) were usually added in the same batch as Scalpel of Unrelenting Agony: the same quest line, zone, vendor or reward set.
Finger of Zon'ozz ID 78399 · Weapon - Wand · item level 37
Grotesquely Writhing Bracers ID 78400 · Armor - Mail · item level 37
Spire of Coagulated Globules ID 78401 · Weapon - Staff · item level 38
Interrogator's Bloody Footpads ID 78402 · Armor - Leather · item level 38
Experimental Specimen Slicer ID 78403 · Weapon - Two-Handed Axe · item level 38
Mindstrainer Treads ID 78405 · Armor - Mail · item level 38
Heartblood Wristplates ID 78406 · Armor - Plate · item level 38Spire of Coagulated Globules ID 78407 · Weapon - Staff · item level 37Interrogator's Bloody Footpads ID 78408 · Armor - Leather · item level 37Experimental Specimen Slicer ID 78409 · Weapon - Two-Handed Axe · item level 37The raw ItemSparse values for item 78404 in the current client build.
Read from the World of Warcraft client build files: Item, ItemSparse, Lock, Holidays, AreaTable and CollectableSourceVendor.
First-party render from the game files. Model © Blizzard Entertainment.
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