Totem of Infliction
From WoWWiki
- Totem of Infliction
- Binds when picked up
- Held In Off-hand
- 50 Armor
- Item Level 25
- Equip: When struck in combat has a 1% chance of inflicting 75 to 125 Shadow damage to the attacker.
- Sell 11
36
Totem of Infliction is an uncommon off-hand item and not a totem. It occasionally inflicts damage to the attacker. It looks like a white skull with horns.
Source
This item is a reward from 
[25] The Totem of Infliction.
