Horns of the Berserker is a very rare Helmet that grants a +2 bonus to Attack Rolls and 2 Necrotic damage to melee hits against damaged creatures.
This was created by a designer and an enchanter who were going through a messy divorce at the time. As such, the armour is filled with active-aggressive rage. It also makes you feel like you've wasted the last ten years picking up after a complete tit.
Properties
Helmets 
Rarity: Very Rare
Weight: 0.5 kg / 1 lb
Price: 230 gp
Special
The wearer of this item gains:
- Seeking Blood: You gain a +2 bonus to
Attack rolls when attacking creatures that have already taken damage. - Blood Thirst: Unarmed and melee attacks will deal an extra 2
Necrotic damage as long as you don't have your full health. If you don't deal any damage this turn, you will take 1d4Necrotic damage at the end of your turn.
Where to find
Sold by Entharl Danthelon in Wyrm's Crossing in Act Three
Notes
- Contrary to the description of Blood Thirst,
1d4 Necrotic damage is added to unarmed or weapon attacks, including ranged weapon attacks, instead of 2 Necrotic damage. This can be seen as an extra 1d4 Necrotic damage in the damage breakdown tooltip of weapons and attacks. - Blood Thirst's damage boost is always active for unarmed strikes regardless of having full health or not.
- Blood Thirst does not damage the wearer unless they are in combat, even if they are in turn-based mode.