The highest item level belts a level 51–60 character can wear as a Paladin on the Horde side start with Belt of Faith (item level 88, epic). 137 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 |
|---|---|---|---|---|---|---|
| 9 |  Grasp of the Old God | 88 | 60 | 75 | Cloth | Drops from C'Thun (Ahn'Qiraj) at 21.0% (vanilla) |
| 2 |  Belt of Never-ending Agony | 88 | 60 | 142 | Leather | Drops from C'Thun (Ahn'Qiraj) at 18.4% (vanilla) |
| 5 |  Dreadnaught Waistguard | 88 | 60 | 554 | Plate | Quest: Dreadnaught Waistguard (vanilla) |
| 11 |  Redemption Girdle | 88 | 60 | 554 | Plate | Quest: Redemption Girdle (vanilla) |
| 4 | Cryptstalker Girdle | 88 | 60 | 311 | Quest: Cryptstalker Girdle (vanilla) | |
| 7 | Earthshatter Girdle | 88 | 60 | 311 | Quest: Earthshatter Girdle (vanilla) | |
| 3 | Bonescythe Waistguard | 88 | 60 | 142 | Leather | Quest: Bonescythe Waistguard (vanilla) |
| 6 | Dreamwalker Girdle | 88 | 60 | 142 | Leather | Quest: Dreamwalker Girdle (vanilla) |
| 8 |  Frostfire Belt | 88 | 60 | 75 | Cloth | Quest: Frostfire Belt (vanilla) |
| 10 | Plagueheart Belt | 88 | 60 | 75 | Cloth | Quest: Plagueheart Belt (vanilla) |
| 1 |  Belt of Faith | 88 | 60 | 75 | Cloth | Quest: Belt of Faith (vanilla) |
| 15 | Royal Qiraji Belt | 81 | 60 | 512 | Plate | Drops from Emperor Vek'lor (Ahn'Qiraj) at 16.7% (vanilla) |
| 12 |  Belt of the Fallen Emperor | 81 | 60 | 512 | Plate | Drops from Emperor Vek'nilash (Ahn'Qiraj) at 14.3% (vanilla) |
| 13 |  Grasp of the Fallen Emperor | 81 | 60 | 288 | Drops from Emperor Vek'nilash (Ahn'Qiraj) at 14.3% (vanilla) | |
| 14 |  Regenerating Belt of Vek'nilash | 81 | 60 | 133 | Leather | Drops from Emperor Vek'nilash (Ahn'Qiraj) at 14.3% (vanilla) |
| 16 | Girdle of the Fallen Crusader | 77 | 60 | 488 | Plate | Drops from Chromaggus (Blackwing Lair) at 16.0% (vanilla) |
| 17 |  Corehound Belt | 70 | 60 | 118 | Leather | Crafted: Leatherworking |
| 18 |  Molten Belt | 70 | 60 | 118 | Leather | Crafted: Leatherworking |
| 21 | Belt of Shrunken Heads | 70 | 408 | Plate | Quest: A Collection of Heads (vanilla) | |
| 20 |  Belt of Shriveled Heads | 70 | 230 | Quest: A Collection of Heads (vanilla) | ||
| 19 |  Belt of Preserved Heads | 70 | 108 | Leather | Quest: A Collection of Heads (vanilla) | |
| 22 | Belt of Tiny Heads | 70 | 55 | Cloth | Quest: A Collection of Heads (vanilla) | |
| 23 |  Bramblewood Belt | 70 | 60 | 108 | Leather | Crafted: Leatherworking |
| 25 |  Light Obsidian Belt | 68 | 60 | 224 | Crafted: Blacksmithing | |
| 24 | Heavy Obsidian Belt | 68 | 60 | 397 | Plate | Crafted: Blacksmithing |
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: Head, Shoulder, Back, Chest, Wrist, Hands, Legs, Feet. Every slot and level.