Zandalarian Hero Medallion vs Earthstrike

Zandalarian Hero Medallion
Binds when picked up
Trinket
Use: Increases your melee and ranged damage by 40 for 20 sec. Every time you hit a target, this bonus is reduced by 2.
Sells for 11 Gold 13 Silver 3 Copper to vendors
Item Level 68

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Earthstrike
Binds when picked up
Trinket
Use: Increases your melee and ranged attack power by 280. Effect lasts for 20 sec.
Sells for 2 Gold 16 Silver 12 Copper to vendors
Item Level 66

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Side by side:

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Stat Zandalarian Hero Medallion Earthstrike Δ
Item Level 68 66 −2
Sell Price 11g 13s 3c 2g 16s 12c −8g 96s 91c
Binding Binds when picked up Binds when picked up

Δ is Earthstrike minus Zandalarian Hero Medallion: green where Earthstrike is better, red where it is worse (a lower required level is better; speed and sell price have no better side). Total Stats adds up Str, Agi, Sta, Int and Spi.

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