Made by binding a blood talisman and tiara at the blood altar.
Made by:
Combining Blood talisman and Tiara - requires level 77 Runecrafting and gives 52.5 Runecrafting xp.
Uses:
Used to access the Blood altar more efficiently than a Blood talisman can.
Use this item on a Wicked hood to unlock the blood runes and blood altar teleport options with it. The tiara cannot be taken out of the hood once consumed.
Notes:
If you have this on your head, you don't have to have the talisman in your inventory, freeing a space for another essence.