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14 Elden Ring Items That Only Drop After Specific Dialogue Choices

Elden Ring’s open-world design and rich lore mean your conversations with NPCs often carry more weight than you’d expect. Beyond unlocking quests or revealing story tidbits, some dialogues actually determine whether you can obtain certain unique items. These aren't just cosmetic rewards—they can impact your build, progress, or even how certain endings unfold. If you're a completionist or just looking to make the most of your Elden Ring Runes, knowing when to say the right thing matters.

Here are 14 items in Elden Ring that only drop after specific dialogue choices:

  1. Dung Eater's Oath of VengeanceAgreeing to help the Dung Eater with his Seedbed Curse obsession leads to this powerful talisman, only if you fully engage with his twisted requests.

  2. Seluvis’s Potion (and what it becomes)Depending on who you choose to use Seluvis’s Potion on—or whether you defy him—it affects which puppets and sorceries you can unlock later.

  3. Nepheli Loux's Arsenal CharmSupport Nepheli through her questline and give her the Stormhawk King item. With the right words and timing, she’ll reward you with this powerful charm.

  4. Diallos's MaskThis stylish mask only becomes available if you see Diallos’s story to the end by responding with compassion and tracking his journey in Jarburg.

  5. Patches’s Crouch Gesture and Bell BearingSparing Patches during your first encounter and continuing to speak with him later unlocks unique items. If you attack him too soon, he disappears permanently.

  6. Brother Corhyn’s IncantationsEncourage his pilgrimage and respond positively to Goldmask’s philosophies. The results open access to rare incantations later in the game.

  7. Rya’s Daedicar’s WoeChoosing empathy over aggression when interacting with Rya determines if she gives you this talisman. Insist on the truth or lie with good intent.

  8. Fia’s Weathered Dagger and the Prince of Death’s PustuleIf you trust Fia with the dagger and allow her storyline to unfold, you'll receive rare Death-themed talismans tied to her character arc.

  9. Boc's Sewing Needle UpgradePraise Boc’s tailoring skill and give him encouragement. Your kind dialogue leads him to upgrade your tailoring tools further.

  10. Hyetta’s Shabriri Grapes ProgressionAnswering her questions with honesty and offering the grapes without resistance ensures her transformation, affecting item rewards in the frenzy-related questline.

  11. Thops’s Bell Bearing and StaffChoose to help Thops by giving him the Academy Glintstone Key. Speak with him often or you’ll miss his final location and the items he leaves behind.

  12. Yura’s NagakibaSupport Yura throughout his quest and stay true to his warnings. If you deviate or ignore him, you may miss this katana entirely.

  13. Millicent’s Prosthesis-Wearer HeirloomAid her in battle and choose to challenge her sisters. Only with proper dialogue and decision-making can you earn her heirloom talisman.

  14. Latenna’s Summon Spirit AshAgree to her terms and express your willingness to carry her to the Haligtree. Only then does she entrust you with her spirit ashes.

These interactions highlight how Elden Ring blends narrative with gameplay in subtle ways. Making the right dialogue choices is just as important as finding the best weapons or leveling up with Elden Ring Runes. If you’re looking to complete every questline or grab every hidden item, paying attention to NPC conversations is key.

And while exploration is rewarding, some items are notoriously easy to miss. That’s why veteran players often recommend researching or preparing before major quests. If you're struggling to track everything down or need gear to optimize your build, the best place to buy Elden Ring items is from trusted players or platforms that specialize in in-game trading.

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