The highest item level necklaces a level 51–60 character can wear as a Paladin start with Gem of Trapped Innocents (item level 92, epic). 102 items fit the slot and band; the top 25 are ranked here by item level, then quality, not by simulation.
| # | Name | ILvl | Req. | Armor | Type | Source |
|---|---|---|---|---|---|---|
| 1 |  Gem of Trapped InnocentsCHANGED | 92 | 60 | Miscellaneous | Drops from Kel'Thuzad (Naxxramas) at 17.4% (vanilla) | |
| 2 |  Stormrage's Talisman of SeethingCHANGED | 92 | 60 | Miscellaneous | Drops from Kel'Thuzad (Naxxramas) at 17.4% (vanilla) | |
| 3 |  Amulet of the Fallen GodCHANGED | 88 | 60 | Miscellaneous | Quest: The Savior of Kalimdor (vanilla) | |
| 4 |  Mark of C'ThunCHANGED | 88 | 60 | Miscellaneous | Drops from C'Thun (Ahn'Qiraj) at 21.0% (vanilla) | |
| 5 | Pendant of Forgotten NamesCHANGED | 85 | 60 | Miscellaneous | Drops from Maexxna (Naxxramas) at 20.0% (vanilla) | |
| 6 |  Gluth's Missing CollarCHANGED | 83 | 60 | Miscellaneous | Drops from Gluth (Naxxramas) at 20.0% (vanilla) | |
| 7 | Malice Stone PendantCHANGED | 83 | 60 | Miscellaneous | Drops from Grand Widow Faerlina (Naxxramas) at 20.0% (vanilla) | |
| 8 |  Master Dragonslayer's MedallionCHANGED | 83 | 60 | Miscellaneous | Quest: The Lord of Blackrock (+1 more) (vanilla) | |
| 9 |  Necklace of NecropsyCHANGED | 83 | 60 | Miscellaneous | Drops from Heigan the Unclean (Naxxramas) at 20.0% (vanilla) | |
| 10 |  Prestor's Talisman of ConniveryCHANGED | 83 | 60 | Miscellaneous | Drops from Nefarian at 20.0% (vanilla) | |
| 11 | Sadist's CollarCHANGED | 83 | 60 | Miscellaneous | Drops from Gothik the Harvester (Naxxramas) at 20.0% (vanilla) | |
| 12 |  Touch of FrostCHANGED | 83 | 60 | Miscellaneous | Drops from Anub'Rekhan (Naxxramas) at 20.0% (vanilla) | |
| 13 |  Amulet of Vek'nilashCHANGED | 81 | 60 | Miscellaneous | Drops from Emperor Vek'nilash (Ahn'Qiraj) at 14.3% (vanilla) | |
| 14 |  Choker of the Fire LordCHANGED | 78 | 60 | Miscellaneous | Drops from Ragnaros at 20.0% (vanilla) | |
| 15 | Amulet of Shadow ShieldingCHANGED | 77 | 60 | Miscellaneous | Quest: Nefarius's Corruption (vanilla) | |
| 16 | Barbed ChokerCHANGED | 77 | 60 | Miscellaneous | Drops from Fankriss the Unyielding (Ahn'Qiraj) at 18.0% (vanilla) | |
| 17 |  Drake Tooth NecklaceCHANGED | 77 | 60 | Miscellaneous | Quest: The Nightmare Manifests (vanilla) | |
| 18 | Necklace of PurityCHANGED | 76 | 60 | Miscellaneous | Drops from Battleguard Sartura (Ahn'Qiraj) at 18.0% (vanilla) | |
| 19 |  Angelista's CharmCHANGED | 75 | 60 | Miscellaneous | Drops from Vem (Ahn'Qiraj) at 25.0% (vanilla) | |
| 20 |  Pendant of the Fallen DragonCHANGED | 74 | 60 | Miscellaneous | Drops from Vaelastrasz the Corrupt (Blackwing Lair) at 20.0% (vanilla) | |
| 21 | Amulet of Foul WardingCHANGED | 73 | 60 | Miscellaneous | Drops from The Prophet Skeram (Ahn'Qiraj) at 18.0% (vanilla) | |
| 22 | Pendant of the Qiraji GuardianCHANGED | 73 | 60 | Miscellaneous | Drops from The Prophet Skeram (Ahn'Qiraj) at 18.0% (vanilla) | |
| 23 | Dragonheart NecklaceCHANGED | 71 | 60 | Miscellaneous | Drops from Emeriss (Duskwood) at 20.0% (vanilla) | |
| 24 |  Fury of the Forgotten SwarmCHANGED | 71 | 60 | Miscellaneous | Drops from Colonel Zerran (Ruins of Ahn'Qiraj) at 13.2% (+6 more) (vanilla) | |
| 25 |  Amulet of the Shifting SandsCHANGED | 70 | 60 | Miscellaneous | Quest: The Fall of Ossirian (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 60 (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. Reviewed picks: Paladin Best in Slot.
Other slots: Finger, Trinket. Every slot and level.