The Apex
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The Apex is a quest item formed by taking Alira's Amulet, Oak's Amulet, and Kraityn's Amulet to Eramir during the quest Deal with the Bandits. If choosing to help one of the bandit factions, the player must bring the other two amulets to the bandit lord.
The Apex is required to unleash Vaal Oversoul within the Vaal Pyramid.