
Sympathetic items contain Sympathetic Strike and Sympathetic Healing effects, which activate based on your actions.
- Sympathetic Strike – Triggers additional damage when casting spells or using abilities.
- Sympathetic Healing – Triggers bonus healing when using healing spells or abilities.
These unique items allow for extra damage and healing, making them highly valuable.
All items need to be Legendary to have the click effect.
Sympathetic Procs are spell-based effects that trigger when casting a spell, providing either an offensive or defensive proc based on the spell type. These effects are rare and only found on legendary versions of some weapons, armor, and augments, and they add an extra chance to trigger an additional spell when the player successfully casts a spell.
In THJ, Sympathetic Procs trigger 100% of the time as long as the spell being cast meets the level and mana cost requirements specified by the proc effect (for example, Sympathetic Healing II requires the beneficial spell being cast to be at least level 10 and have a minimum mana cost of 20).
Unlike traditional spell and weapon procs where proc chances are influenced by cast time, proc rate modifiers, and PPM (procs per minute) balancing mechanics, the sympathetic proc system bypasses these calculations entirely. This guarantees consistent proc activation without randomness.
How Sympathetic Procs Work
- Player casts a spell (beneficial or damage).
- Check if the spell meets the Sympathetic Proc's level & mana cost requirements.
- If yes, the proc is guaranteed to trigger.
- If no, the proc does not activate.
- Cast time, PPM scaling, and item proc rate modifiers do not influence proc chance.
- Right click the item with the Sympathetic Affect, this adds a spell buff to your player that enables the Sympathetic Proc (there are two versions you'll need to apply, one for damage spells and one for beneficial spells); this buff has a timer and will have to be reapplied unless you are wearing the item giving the Sympathetic Proc buff, which will keep the buff on your player indefinitely (or until that item is removed).
Sympathetic strike will not gain an AoE effect for AoE spells, they are single target. Direct Damage Spells, that means any spells that do direct damage, will cast Sympathetic Strike as long as the spell meets the requirements listed by that specific sympathetic strike, requirements you can read on the spell itself. Some classes get some spells earlier than others, so level requirement and mana requirement should be taken into account.
Sympathetic healing works almost the same way, all beneficial spells, shielding, cures, stat improvements, anything beneficial will proc sympathetic healing, make sure the spell you use has both the mana and the level requirements to match the corresponding sympathetic healing proc or it will not proc, as stated, some spells get to different classes at different times, and just because a spell works for one class does not guarantee it will work for yours. Please check spell requirements carefully. Life taps are not 'healing' spells, and they do not benefit from sympathetic healing.
Most class combinations can benefit from some way with sympathetic strike or healing. The component that you should look for is direct damage or direct healing. If a spell does damage directly to an enemy, it should symp strike given it satisfies the requirements for your symp strike, if a spell heals you directly, it should symp heal given that it satisfies the requirements for your symp healing.
Sympathetic Strike Items
Sympathetic Healing Items
Name |
Expansion |
Classes |
Summoned: Dagger |
None |
WAR, RNG, SHD, BRD, ROG, NEC, WIZ, MAG, ENC, BST |
Warped Great Staff (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Ice Crystal Staff (Legendary) |
Classic |
BRD, NEC, WIZ, MAG, ENC |
Summoned: Staff of Runes (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Charred Dagger (Legendary) |
Classic |
WAR, RNG, SHD, BRD, ROG, NEC, WIZ, MAG, ENC, BST |
Glowing Black Stone (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Winex's Staff (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Skull of Jhen'ra (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Jeweled Skull (Legendary) |
None |
NEC, WIZ, MAG, ENC |
Name |
Expansion |
Classes |
Slime Crystal Staff (Legendary) |
Classic |
BRD, NEC, WIZ, MAG, ENC |
Stein of Moggok (Legendary) |
None |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST |
Runewood Great Staff (Legendary) |
Kunark |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Sacrificial Dagger (Legendary) |
Classic |
WAR, RNG, SHD, BRD, ROG, NEC, WIZ, MAG, ENC, BST |
Mithril Quill (Legendary) |
Classic |
BRD, NEC, WIZ, MAG, ENC, BST |
Ancient Sensate Eye (Legendary) |
Luclin |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Stein of Moggok (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Name |
Expansion |
Classes |
Enchanted Teir'Dal Great Staff (Legendary) |
Classic |
WAR, CLR, PAL, SHD, DRU, MNK, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Fire Crystal Staff (Legendary) |
Classic |
BRD, NEC, WIZ, MAG, ENC |
Staff of Writhing (Legendary) |
Classic |
BRD, NEC, WIZ, MAG, ENC |
RukGus' Sticker (Legendary) |
Kunark |
WAR, RNG, SHD, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST |
Sarnak Ceremonial Dagger (Legendary) |
Kunark |
BRD, ROG, NEC, WIZ, MAG, ENC, BST |
Black Tome with Silver Runes (Legendary) |
Classic |
NEC, WIZ, MAG, ENC |
Gnoll Hide Tome (Legendary) |
Classic |
NEC, WIZ, MAG, ENC |
Name |
Expansion |
Classes |
Di'zok Sceptre of Authority (Legendary) |
Kunark |
CLR, DRU, SHM, NEC, WIZ, MAG, ENC |
Darksight Dagger (Legendary) |
Kunark |
NEC, WIZ, MAG, ENC |
Rod of Oblations (Legendary) |
Kunark |
CLR, DRU, SHM, NEC, WIZ, MAG, ENC |
Staff of Discord (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Lasnik's Staff (Legendary) |
Kunark |
MNK, WIZ, BER |
Cone of the Mystics (Legendary) |
Kunark |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Velium Crystal Staff (Legendary) |
Velious |
CLR, MNK, NEC, WIZ, MAG, ENC |
Chetari Wardstaff (Legendary) |
Velious |
CLR, DRU, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Crystallized Shadow Dagger (Legendary) |
Velious |
WAR, RNG, SHD, BRD, ROG, NEC, WIZ, MAG, ENC, BST |
Thunder Runed Dagger (Legendary) |
Velious |
NEC, WIZ, MAG, ENC |
Name |
Expansion |
Classes |
Gnarled Staff (Legendary) |
Kunark |
WIZ |
Bowl of Watery Protection (Legendary) |
Velious |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Stein of Bitter Cold (Legendary) |
Velious |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Ancient Prismatic Staff (Legendary) |
Velious |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST |
Staff of the Chamberlain (Legendary) |
Velious |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Name |
Expansion |
Classes |
Orb of the Crimson Bull (Legendary) |
Velious |
CLR, DRU, SHM, NEC, WIZ, MAG, ENC |
Velketor's Spell Book (Legendary) |
Velious |
NEC, WIZ, MAG, ENC |
Staff of the Morning Dew (Legendary) |
Velious |
NEC, WIZ, MAG, ENC |
Zlandicar's Heart (Legendary) |
Velious |
SHD, NEC, WIZ, MAG, ENC |
Premier Staff of Secundae (Legendary) |
Velious |
CLR, DRU, SHM, NEC, WIZ, MAG, ENC, BST |
Name |
Expansion |
Classes |
Gavel of Justice (Legendary) |
PoP |
WAR, RNG, DRU, MNK, BRD, ROG, BST |
Thundering Mace (Legendary) |
PoP |
CLR, DRU, SHM, NEC, WIZ, MAG, ENC |
Cudgel of Venomous Hatred (Legendary) |
PoP |
SHD |
War Marshall's Bladed Staff (Legendary) |
PoP |
WAR, PAL, RNG, SHD, BER |
Mana Twined Staff (Legendary) |
Luclin |
NEC, WIZ, MAG, ENC |

Name |
Expansion |
Classes |
Summoned: Hammer of Wrath |
Classic |
CLR, PAL, SHM |
Splintering Club (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Bronze Morning Star (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Orcish Mace (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Summoned: Hammer of Wrath (Legendary) |
Classic |
CLR, PAL, SHM |
Runed Totem Staff (Legendary) |
Classic |
CLR, DRU, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Dwarven Mace (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Gem-Encrusted Scepter (Legendary) |
Classic |
CLR, DRU, BRD, SHM |
Name |
Expansion |
Classes |
Summoned: Hammer of Striking |
Classic |
CLR, PAL |
Torklar's Battle Hammer (Legendary) |
Classic |
WAR, CLR, PAL, RNG, DRU, MNK, BRD, ROG, SHM, BST |
Summoned: Hammer of Striking (Legendary) |
Classic |
CLR, PAL |
Fine Steel Warhammer (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Humerus Handled Mace (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Goblin Fire Totem (Legendary) |
Classic |
CLR, DRU, BRD, SHM |
Goblin Frost Totem (Legendary) |
Classic |
CLR, DRU, BRD, SHM |
Name |
Expansion |
Classes |
Summoned: Hammer of Requital |
Classic |
CLR, PAL, SHM |
Prayer Shawl (Legendary) |
Classic |
CLR, DRU, SHM |
Summoned: Hammer of Requital (Legendary) |
Classic |
CLR, PAL, SHM |
Sharkbone Warhammer (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Sap of Piety (Legendary) |
Kunark |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Platinum Dragon Totem (Legendary) |
Classic |
CLR, DRU, BRD, SHM |
Battle Staff (Legendary) |
Classic |
CLR, PAL |
Testament of Vanear (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Name |
Expansion |
Classes |
Enchanted Fine Steel Morning Star (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Ruined Battleworn Morning Star (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Wraith Bone Hammer (Legendary) |
Kunark |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, BST |
Springwood Club (Legendary) |
Kunark |
WAR, CLR, PAL, RNG, DRU, MNK, BRD, ROG, SHM, BST |
Idol of the Underking (Legendary) |
Classic |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Name |
Expansion |
Classes |
Staff of the Elder Claws (Legendary) |
Velious |
CLR, DRU, SHM, BST, BER |
Valorous Quarterstaff (Legendary) |
PoP |
WAR, RNG, DRU, MNK, BRD, ROG, BST |
Cloak of Crystalline Waters (Legendary) |
Velious |
WAR, CLR, PAL, RNG, SHD, DRU, MNK, BRD, ROG, SHM, NEC, WIZ, MAG, ENC, BST, BER |
Ironbound Quarterstaff (Legendary) |
PoP |
WAR, PAL, RNG, SHD, MNK, BRD, ROG, BST, BER |
Paebala Fetish (Legendary) |
Velious |
CLR, DRU, SHM |
Righteousness (Legendary) |
Luclin |
CLR, DRU, SHM |
Sprinkler of the Spirits (Legendary) |
Velious |
CLR, DRU, SHM |
Name |
Expansion |
Classes |
Hopebringer (Legendary) |
PoP |
PAL |
Mace of Confusion (Legendary) |
Luclin |
CLR, DRU, SHM |
Aleje's Ceremonial Cudgel (Legendary) |
Luclin |
CLR, DRU, SHM |
Sunbeam Staff (Legendary) |
Luclin |
CLR, DRU, SHM |
Shield of Holy Vigor (Legendary) |
Luclin |
CLR, DRU, SHM |
Dark Mace of Thought (Legendary) |
Luclin |
CLR, DRU, SHM |
Name |
Expansion |
Classes |
Hammer of Holy Vengeance (Legendary) |
PoP |
CLR |
Sharkspine Club (Legendary) |
PoP |
CLR, DRU, SHM |
Staff of Eternal Flames (Legendary) |
PoP |
CLR, DRU, SHM |
Shield of the Vortex (Legendary) |
PoP |
CLR, DRU, SHM, NEC, WIZ, MAG, ENC |
Whorl of Unnatural Forces (Legendary) |
PoP |
CLR, DRU, SHM |
