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The Skeletal Helm is a cosmetic item worn in the head slot. It has no requirements to wear.
The full Skeletal set is made up of:
There are few of these items in-game as they are only dropped by Skeletal wyverns, which are rarely killed due to how difficult they are.
Obtaining the Skeletal Helm
As with the other pieces of the set, the only way to obtain this item is by killing Skeletal wyverns.