Alongside the spear she also drops Gemrot SkullGemrot SkullGrants +30 to Maximum SpiritThe skull of a stolen child, carefully cultivated by the Bog Witch...Right-click to break the skull and release the energies within., which grants +30 to maximum Spirit on use.
Thawing CharmThawing CharmLasts 3.00 Seconds Consumes 40 of 40 Charges on use Immune to FreezeRequires Level 12Used when you become FrozenUsed automatically when condition is met. Can only hold charges while in belt. Refill at Wells or by killing monsters.
Staunching CharmStaunching CharmLasts 3.00 Seconds Consumes 30 of 40 Charges on use You are Immune to BleedingRequires Level 18Used when you start BleedingUsed automatically when condition is met. Can only hold charges while in belt. Refill at Wells or by killing monsters.
Antidote CharmAntidote CharmLasts 3.00 Seconds Consumes 20 of 40 Charges on use Immune to PoisonRequires Level 24Used when you become PoisonedUsed automatically when condition is met. Can only hold charges while in belt. Refill at Wells or by killing monsters.
Dousing CharmDousing CharmLasts 3.00 Seconds Consumes 30 of 40 Charges on use Immune to IgniteRequires Level 32Used when you become IgnitedUsed automatically when condition is met. Can only hold charges while in belt. Refill at Wells or by killing monsters.
Grounding CharmGrounding CharmLasts 3.00 Seconds Consumes 30 of 40 Charges on use Immune to ShockRequires Level 32Used when you become ShockedUsed automatically when condition is met. Can only hold charges while in belt. Refill at Wells or by killing monsters.
Item acquisition
Ignagduk's Ghastly Spear has restrictions on where or how it can drop.