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Elden Ring offers players a staggering variety of items, from consumables and weapons to talismans and upgrade materials. But not every item is created equal—some are incredibly rare or powerful and should be kept for key battles, while others hold immense value for trading or multiplayer use. After logging hundreds of hours across multiple playthroughs and builds, I’ve developed a strong sense of which Elden Ring Items are worth keeping, and which can be valuable for trading with other players.

If you’re using Elden Ring Nightreign Boosting or searching for cheap Elden Ring Items to complete your collection, knowing which items truly matter can save you time and effort. Below are the top seven most valuable items in the game that you should either keep permanently or use for high-value trades.

1. Larval Tears

Larval Tears are essential for respecs via Rennala at the Raya Lucaria Grand Library. These are limited per playthrough and allow you to completely rebuild your character’s stats. I always hold on to them, especially during NG+ cycles when I want to experiment with new builds. They are also highly valuable in player trades since others are often looking for a way to re-spec quickly.

2. Ancient Dragon Smithing Stone & Somber Ancient Dragon Smithing Stone

These are extremely rare upgrade materials used to max out standard and special weapons. You only get a few per playthrough, and they can’t be farmed. I save these for my best or favorite weapons—usually endgame or PvP-focused gear. They're also among the most requested items in trades.

3. Rivers of Blood

Due to its high bleed damage and overall effectiveness in both PvE and PvP, Rivers of Blood is always in demand. It scales well and remains viable through most of the game. I personally keep at least one copy in every NG+ run, and it’s a frequent request in trading communities.

4. Mimic Tear Ashes

Still considered one of the strongest Spirit Ashes in the game, Mimic Tear offers insane utility by copying your build. I’ve used it to cheese late-game bosses and help new players in co-op. It’s irreplaceable and not tradable, so don’t ever discard or overlook this one.

5. Talisman Pouch

This item expands your talisman slots. There are only three obtainable in a single playthrough, and each one makes a huge difference to your build versatility. I highly recommend keeping track of these and never trading or selling them—they’re core to maximizing your potential.

6. Sacrificial Twigs

While consumable, Sacrificial Twigs prevent rune loss upon death. They’re especially useful in high-risk areas or when carrying a large rune count. I tend to trade for them regularly since they offer practical use and peace of mind during farming or boss runs.

7. Moonveil

Another weapon with high trade value due to its intelligence scaling and unique weapon art. Moonveil is perfect for hybrid spellblade builds and is often requested by newer players. I’ve traded this weapon more than any other while helping friends or others who missed it on their first playthrough.

Personal Experience

When I first started playing Elden Ring, I sold off items I didn’t understand, like Larval Tears and upgrade stones—big mistake. Later, as I began using Elden Ring Nightreign Boosting services to prepare for PvP, I realized how essential some of these “minor-looking” items really were. Now I stockpile the truly valuable ones and trade duplicates for items I missed or builds I want to try.

Also, when searching for cheap Elden Ring Items to enhance my secondary characters, I always prioritize the ones listed above. They make the biggest difference in gameplay quality, especially in harder NG+ content.

Inventory management in Elden Ring isn’t just about keeping your bag light—it’s about recognizing what truly holds value. Whether you’re planning to dive into PvP, clear NG+ content, or help other Tarnished in co-op, these seven items should either be kept close or used for high-value trades.

Remember, smart decisions on what to keep can save you from frustration later. And if you're in need of something fast, consider Elden Ring Nightreign Boosting or looking into cheap Elden Ring Items from trustworthy sources to round out your build.

System Overview: Can You Trade Runes in Elden Ring?