This skull is the last quest-based obtainable item in the Helping The Innkeeper quest. It is obtained by cleansing the Ancient Skull with a ritual at the Cultists Altar and does not have any effect, nor can be worn or used.
The skull can be used in crafting:
- Ancient Skull Staff (Variant 1, Variant 2)
- Ancient Skull Quiver (New counting interface for arrows and add 3 physical armor)