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The Crown of the Skeleton King is a quest item found on the second level of the dungeon below the Tristram Cathedral. It's dropped by the leader of a group of [[Summoner|Dark SummonerCultist]]s, and can not be equipped. The crown should be picked up and taken down to the third level, to Leoric's throne. Drop the item on his bones and Leoric's spirit will be called back to his body, and he will rise up, full of malice.