The highest item level trinkets a level 41–50 character can wear start with Arcanite Dragonling (item level 60, rare). 27 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 |  Arcanite DragonlingCHANGED | 60 | 50 | Miscellaneous | Crafted: Engineering | |
| 2 |  Arena Grand MasterCHANGED | 55 | 50 | Miscellaneous | Quest: Arena Grandmaster (vanilla) | |
| 3 |  Dormant Heart of the MountainFOREVER | 55 | 50 | Miscellaneous | Crafted: Enchanting | |
| 4 |  Frozen Heart of the MountainFOREVER | 55 | 50 | Miscellaneous | Crafted: Enchanting | |
| 5 |  Molten Heart of the MountainFOREVER | 55 | 50 | Miscellaneous | Crafted: Enchanting | |
| 6 |  Smoking Heart of the MountainCHANGED | 55 | 50 | Miscellaneous | Crafted: Enchanting | |
| 7 |  Defiler's TalismanCHANGED | 53 | 48 | Miscellaneous | Sold by Rutherford Twing (Horde) (vanilla) | |
| 8 | Talisman of ArathorCHANGED | 53 | 48 | Miscellaneous | Sold by Samuel Hawke (Alliance) (vanilla) | |
| 9 |  Gyrofreeze Ice ReflectorCHANGED | 52 | 47 | Miscellaneous | Crafted: Engineering | |
| 10 |  Uther's StrengthCHANGED | 52 | 47 | Miscellaneous | Drops from Colossus of Zora (Silithus) at 10.0% (+385 more) (vanilla) | |
| 11 |  Six Demon Bag | 51 | 46 | Miscellaneous | Drops from Azuregos (Azshara) at 11.2% (+336 more) (vanilla) | |
| 12 |  Alchemist's StoneCHANGED | 50 | 45 | Miscellaneous | Crafted: Alchemy | |
| 13 |  Carrot on a Stick | 50 | Miscellaneous | Quest: Gahz'rilla (vanilla) | ||
| 14 |  Evonice's Landin' PillaCHANGED | 50 | Miscellaneous | Quest: Look at the Size of It! (vanilla) | ||
| 15 |  Glimmering Mithril InsigniaCHANGED | 50 | Quest: Did You Lose This? (vanilla) | |||
| 16 |  LuffaCHANGED | 50 | Miscellaneous | Quest: Incendosaurs? Whateverosaur is More Like It (vanilla) | ||
| 17 |  Nifty Stopwatch | 50 | Miscellaneous | Quest: This Is Going to Be Hard (vanilla) | ||
| 18 |  Smotts' CompassCHANGED | 50 | Miscellaneous | Quest: Facing Negolash (+1 more) (vanilla) | ||
| 19 |  Gnomish Death RayCHANGED | 48 | Miscellaneous | Crafted: Engineering | ||
| 20 |  Goblin Dragon GunCHANGED | 48 | Miscellaneous | Crafted: Engineering | ||
| 21 |  Gnomish Battle ChickenCHANGED | 46 | Miscellaneous | Crafted: Engineering | ||
| 22 |  Goblin Bomb DispenserCHANGED | 46 | Miscellaneous | Crafted: Engineering | ||
| 23 |  Signet of Expertise | 45 | Quest | Quest: Expert Blacksmith! (vanilla) | ||
| 24 |  Thunderbrew's Boot FlaskCHANGED | 44 | Miscellaneous | Quest: Sweet Amber (vanilla) | ||
| 25 |  Gnomish Net-o-Matic ProjectorCHANGED | 42 | 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 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: Neck, Finger. Every slot and level.