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Wrath tiara detail
Wrath tiara chathead

A wrath tiara is made by combining a wrath talisman with a tiara. In order to combine it with a talisman, simply use the tiara on the wrath altar with a wrath talisman in your inventory. Doing so earns you approximately 52.5 Runecrafting experience. A wrath tiara can be worn in the head slot, allowing you to left click on the altar to get inside, saving you an inventory space.