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• Grim Toll
• Item Level 213Disenchants into:
  [Abyss Crystal]: 1-2
• Binds when picked up
• Unique
• Trinket
• Requires Level 80
• Equip: Improves hit rating by 83.
  Equip: Your melee and ranged attacks have a chance to increase your armor penetration rating by 612 for 10 sec.
• Sell Price: 11 39 40

Source

This item drops from Maexxna, Gothik the Harvester, Heigan the Unclean, and Grobbulus in the 25-man version of Naxxramas.

External links

• Battle.net (EU)
• Wowhead
• Thottbot
• WoWDB