The highest item level trinkets a level 31–40 character can wear start with Mithril Mechanical Dragonling (item level 50, common). 12 items fit the slot and band; the top 12 are ranked here by item level, then quality, not by simulation.
| # | Name | ILvl | Req. | Armor | Type | Source |
|---|---|---|---|---|---|---|
| 1 |  Mithril Mechanical DragonlingCHANGED | 50 | 40 | Miscellaneous | Crafted: Engineering | |
| 2 |  Ankh of LifeCHANGED | 45 | 40 | Miscellaneous | Drops from Narillasanz (Alterac Mountains) at 0.0% (+344 more) (vanilla) | |
| 3 |  Rune of DutyCHANGED | 45 | 40 | Miscellaneous | Sold by Illiyana Moonblaze (+1 more) (vanilla) | |
| 4 |  Rune of PerfectionCHANGED | 45 | 40 | Miscellaneous | Sold by Illiyana Moonblaze (+1 more) (vanilla) | |
| 5 |  Blazing EmblemCHANGED | 43 | 38 | Miscellaneous | Drops from Narillasanz (Alterac Mountains) at 0.0% (+275 more) (vanilla) | |
| 6 |  Defiler's TalismanCHANGED | 43 | 38 | Miscellaneous | Sold by Rutherford Twing (Horde) (vanilla) | |
| 7 | Talisman of ArathorCHANGED | 43 | 38 | Miscellaneous | Sold by Samuel Hawke (Alliance) (vanilla) | |
| 8 |  Tidal CharmCHANGED | 41 | 36 | Miscellaneous | Drops from Prince Nazjak (Arathi Highlands) at 45.0% (vanilla) | |
| 9 |  Arena MasterCHANGED | 40 | 35 | Miscellaneous | Found in Arena Treasure Chest (Stranglethorn Vale) at 100.0% (vanilla) | |
| 10 |  Cold Basilisk EyeCHANGED | 40 | 35 | Miscellaneous | Drops from Cold Eye Basilisk (Stranglethorn Vale) at 0.8% (vanilla) | |
| 11 |  Gnomish Cloaking DeviceCHANGED | 40 | Miscellaneous | Crafted: Engineering | ||
| 12 |  Goblin Jumper CablesCHANGED | 33 | Miscellaneous | Crafted: Engineering |
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 40 (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: Neck, Finger. Every slot and level.