Z Necklace
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I always liked the yin yang amulet. I remember in 2005-2006 not many people knew this item existed in f2p and getting asked what my necklace was 15 times a day.
I suck at combat and never, ever thought I would be able do Jad but I wanted baby Jad soooooooooo bad! Finally got there - I love his dialogue, makes me smile every time.
An actual "item" I would say my Slayer cape. Back when I was a noob, the first guy I saw wearing a slayer cape it was like "OMG I want one of those!" Cue a very long time to get it (in the days when it took a very long time to get it). I still wear it all the time, over any other cape (unless the situation requires otherwise).