Istemkheb's Cartouche

Legendary Amulet Jewelry Tier V
Check the New Istemkheb's Cartouche
Item Gear Score
500-600
Selected Gear Score
100 200 300 400 500 600 700
25 Strength
Empty Socket: Attach a gem to add its effect.
Health: +4.9% max Health.
Slash Protection: Receive 13% less Slash damage.
Empowered: Empower you apply lasts 29% longer.

The power of the name it holds flows into the bearer.

Bind On Pickup Tier V 0.1 Weight 750 Durability
Gives 3.00
Coins and 12
Repair Parts when salvaged.
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Deprecated Variant
Istemkheb's Cartouche 625 GS New
Istemkheb's Cartouche Old
No Source

We can't find any source for this item (quests reward, drop, etc). It's highly probable this item is not obtainable right now. It seems that the New Istemkheb's Cartouche is obtainable.