The highest item level off-hand items a level 41–50 character can wear start with Duskwoven Branch (item level 55, uncommon). 21 items fit the slot and band; the top 21 are ranked here by item level, then quality, not by simulation.
| # | Name | ILvl | Req. | Armor | Type | Source |
|---|---|---|---|---|---|---|
| 1 |  Duskwoven Branch | 55 | 50 | Miscellaneous | Drops from Zaricotl (Badlands) at 1.0% (+629 more) (vanilla) | |
| 2 |  Venomshroud Orb | 54 | 49 | Miscellaneous | Drops from Zaricotl (Badlands) at 1.0% (+625 more) (vanilla) | |
| 3 | Abjurer's Crystal | 53 | 48 | Miscellaneous | Drops from Foulmane (Western Plaguelands) at 1.0% (+533 more) (vanilla) | |
| 4 |  Gaea's Scepter | 52 | 47 | Miscellaneous | Drops from Foulmane (Western Plaguelands) at 1.0% (+525 more) (vanilla) | |
| 5 |  Basilisk Bone | 51 | 46 | Miscellaneous | Drops from Azuregos (Azshara) at 11.2% (+336 more) (vanilla) | |
| 6 |  Bloodwoven Rod | 51 | 46 | Miscellaneous | Drops from Ravasaur Matriarch (Un'Goro Crater) at 0.9% (+491 more) (vanilla) | |
| 7 |  Hibernal Sphere | 51 | 46 | Miscellaneous | Drops from Ravasaur Matriarch (Un'Goro Crater) at 0.9% (+494 more) (vanilla) | |
| 8 |  Truesilver ConduitFOREVER | 50 | 45 | Miscellaneous | Crafted: Enchanting | |
| 9 |  Twisting Essence JarFOREVER | 50 | 45 | Miscellaneous | Crafted: Enchanting | |
| 10 |  Gossamer Rod | 50 | 45 | Miscellaneous | Drops from Ravasaur Matriarch (Un'Goro Crater) at 0.9% (+495 more) (vanilla) | |
| 11 |  Bouquet of White Roses | 50 | Miscellaneous | Sold by Bernard Gump (+3 more) (vanilla) | ||
| 12 |  Windchaser Orb | 49 | 44 | Miscellaneous | Drops from Bloodroar the Stalker (Feralas) at 0.9% (+522 more) (vanilla) | |
| 13 |  Royal Scepter | 48 | 43 | Miscellaneous | Drops from Bloodroar the Stalker (Feralas) at 0.9% (+525 more) (vanilla) | |
| 14 |  Lord Sakrasis' ScepterCHANGED | 47 | 42 | Miscellaneous | Drops from Lord Sakrasis (Stranglethorn Vale) at 50.0% (vanilla) | |
| 15 |  Lunar Sphere | 47 | 42 | Miscellaneous | Drops from Brimgore (Dustwallow Marsh) at 0.9% (+457 more) (vanilla) | |
| 16 |  Darkmist Orb | 46 | 41 | Miscellaneous | Drops from Brimgore (Dustwallow Marsh) at 0.9% (+457 more) (vanilla) | |
| 17 | Mistscape Stave | 46 | 41 | Miscellaneous | Drops from Brimgore (Dustwallow Marsh) at 0.9% (+460 more) (vanilla) | |
| 18 | Tranquil OrbCHANGED | 46 | Miscellaneous | Quest: Mai'Zoth (vanilla) | ||
| 19 |  Jademoon Orb | 45 | Miscellaneous | Quest: A Grim Discovery (vanilla) | ||
| 20 |  Traitor's FingerCHANGED | 42 | Miscellaneous | Quest: Khan Hratha (vanilla) | ||
| 21 |  Skull of Impending Doom | 41 | Miscellaneous | Quest: Forbidden Knowledge (vanilla) |
Ranked by item level, then quality, among items with a known source: gear nothing drops, sells, rewards or makes yet (raids not yet open, the client's test items) is left out. The class filter keeps what the class can equip at level 50 (armor type, weapon skill, Dual Wield, the item's own class limit); the side filter drops items that only the other side's vendors and quests offer. Source: the best known drop first (a Forever rate at 10+ loots, else the vanilla 1.12 chance), then vendors, quest rewards and the profession that makes it.
Other slots: Shield. Every slot and level.