The highest item level necklaces a level 41–50 character can wear start with Drakefire Amulet (item level 63, rare). 20 items fit the slot and band; the top 20 are ranked here by item level, then quality, not by simulation.
| # | Name | ILvl | Req. | Armor | Type | Source |
|---|---|---|---|---|---|---|
| 1 |  Drakefire Amulet | 63 | 50 | Miscellaneous | Quest: Blood of the Black Dragon Champion (+1 more) (vanilla) | |
| 2 |  Darkmoon Necklace | 55 | 50 | Miscellaneous | Sold by Lhara (vanilla) | |
| 3 |  Selenium Chain | 54 | 49 | Miscellaneous | Drops from Zaricotl (Badlands) at 1.0% (+629 more) (vanilla) | |
| 4 |  Scout's Medallion | 53 | 48 | Miscellaneous | Sold by Kelm Hargunth (Horde) (vanilla) | |
| 5 |  Sentinel's Medallion | 53 | 48 | Miscellaneous | Sold by Illiyana Moonblaze (Alliance) (vanilla) | |
| 6 |  Marble Necklace | 53 | 48 | Miscellaneous | Drops from Foulmane (Western Plaguelands) at 1.0% (+528 more) (vanilla) | |
| 7 |  Fire Opal Necklace | 52 | 47 | Miscellaneous | Found in Relic Coffer (Blackrock Depths) at 0.4% (vanilla) | |
| 8 | Horizon Choker | 51 | 46 | Miscellaneous | Drops from Azuregos (Azshara) at 11.2% (+336 more) (vanilla) | |
| 9 | Arctic Pendant | 51 | 46 | Miscellaneous | Drops from Ravasaur Matriarch (Un'Goro Crater) at 0.9% (+494 more) (vanilla) | |
| 10 |  Master Sergeant's Insignia | 50 | 45 | Miscellaneous | Sold by Officer Areyn (Alliance) (vanilla) | |
| 11 |  Senior Sergeant's Insignia | 50 | 45 | Miscellaneous | Sold by Sergeant Ba'sha (Horde) (vanilla) | |
| 12 |  Pulsating Crystalline Shard | 50 | Miscellaneous | Quest: Summoning the Princess (vanilla) | ||
| 13 | Vanadium Talisman | 50 | 45 | Miscellaneous | Drops from Ravasaur Matriarch (Un'Goro Crater) at 0.9% (+495 more) (vanilla) | |
| 14 |  Skibi's Pendant | 49 | 44 | Miscellaneous | Found in Solid Chest (Stranglethorn Vale) at 0.0% (+303 more) (vanilla) | |
| 15 |  Onyx Choker | 48 | 43 | Miscellaneous | Drops from Bloodroar the Stalker (Feralas) at 0.9% (+525 more) (vanilla) | |
| 16 |  Desert Choker | 47 | 42 | Miscellaneous | Drops from Brimgore (Dustwallow Marsh) at 0.9% (+460 more) (vanilla) | |
| 17 |  Talisman of the Naga Lord | 47 | 42 | Miscellaneous | Drops from Lord Sakrasis (Stranglethorn Vale) at 50.0% (vanilla) | |
| 18 | Choker of the High Shaman | 44 | Miscellaneous | Quest: Mok'thardin's Enchantment (vanilla) | ||
| 19 |  Ethereal Talisman | 43 | Miscellaneous | Quest: The Crown of Will (vanilla) | ||
| 20 | Kodobone Necklace | 41 | Miscellaneous | Quest: Bone Collector (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: Finger, Trinket. Every slot and level.