The highest item level trinkets a level 51–60 character can wear start with Eye of the Dead (item level 90, epic). 79 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 |  Eye of the DeadCHANGED | 90 | 60 | Miscellaneous | Drops from Sapphiron at 19.0% (vanilla) | |
| 2 |  Glyph of DeflectionCHANGED | 90 | 60 | Miscellaneous | Drops from Sapphiron at 19.0% (vanilla) | |
| 3 |  Mark of the ChampionCHANGED | 90 | Miscellaneous | Quest: The Fall of Kel'Thuzad (vanilla) | ||
| 4 |  Mark of the ChampionCHANGED | 90 | Miscellaneous | Quest: The Fall of Kel'Thuzad (vanilla) | ||
| 5 |  Slayer's CrestCHANGED | 90 | 60 | Miscellaneous | Drops from Sapphiron at 19.0% (vanilla) | |
| 6 |  The Restrained Essence of SapphironCHANGED | 90 | 60 | Miscellaneous | Drops from Sapphiron at 19.0% (vanilla) | |
| 7 |  Vanquished Tentacle of C'Thun | 88 | 60 | Miscellaneous | Drops from C'Thun (Ahn'Qiraj) at 15.0% (vanilla) | |
| 8 |  Eye of DiminutionCHANGED | 85 | 60 | Miscellaneous | Drops from Thaddius (Naxxramas) at 20.0% (vanilla) | |
| 9 |  Kiss of the SpiderCHANGED | 85 | 60 | Miscellaneous | Drops from Maexxna (Naxxramas) at 20.0% (vanilla) | |
| 10 | Loatheb's ReflectionCHANGED | 85 | 60 | Miscellaneous | Drops from Loatheb (Naxxramas) at 20.0% (vanilla) | |
| 11 | Warmth of ForgivenessCHANGED | 85 | 60 | Miscellaneous | Found in Four Horsemen Chest (Naxxramas) at 16.7% (vanilla) | |
| 12 |  Neltharion's TearCHANGED | 83 | 60 | Miscellaneous | Drops from Nefarian at 20.0% (vanilla) | |
| 13 |  Jom Gabbar | 81 | 60 | Miscellaneous | Drops from Ouro at 16.7% (vanilla) | |
| 14 |  The Burrower's Shell | 81 | 60 | Miscellaneous | Drops from Ouro at 16.7% (vanilla) | |
| 15 |  Scarab Brooch | 78 | 60 | Miscellaneous | Drops from Viscidus (Ahn'Qiraj) at 14.3% (vanilla) | |
| 16 |  Fetish of the Sand Reaver | 77 | 60 | Miscellaneous | Drops from Fankriss the Unyielding (Ahn'Qiraj) at 15.0% (vanilla) | |
| 17 |  Aegis of Preservation | 76 | 60 | Miscellaneous | Drops from Ebonroc (Blackwing Lair) at 18.0% (vanilla) | |
| 18 |  Arcane Infused Gem | 76 | 60 | Miscellaneous | Drops from Razorgore the Untamed (Blackwing Lair) at 20.0% (vanilla) | |
| 19 |  Badge of the Swarmguard | 76 | 60 | Miscellaneous | Drops from Battleguard Sartura (Ahn'Qiraj) at 15.0% (vanilla) | |
| 20 |  Lifegiving Gem | 76 | 60 | Miscellaneous | Drops from Broodlord Lashlayer (Blackwing Lair) at 20.0% (vanilla) | |
| 21 |  Mind Quickening Gem | 76 | 60 | Miscellaneous | Drops from Vaelastrasz the Corrupt (Blackwing Lair) at 20.0% (vanilla) | |
| 22 |  Natural Alignment Crystal | 76 | 60 | Miscellaneous | Drops from Firemaw (Blackwing Lair) at 12.5% (vanilla) | |
| 23 |  Petrified Scarab | 76 | 60 | Miscellaneous | Drops from Lord Kri (Ahn'Qiraj) at 25.0% (vanilla) | |
| 24 |  Rune of Metamorphosis | 76 | 60 | Miscellaneous | Drops from Vaelastrasz the Corrupt (Blackwing Lair) at 20.0% (vanilla) | |
| 25 |  Scrolls of Blinding Light | 76 | 60 | Miscellaneous | Drops from Firemaw (Blackwing Lair) at 12.5% (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.
Other slots: Neck, Finger. Every slot and level.