Saint's Last Breath is a Mortal Unique helm with no boss attached: it drops anywhere in Nightmare, most often from N6 up (rarer below that home difficulty, never above it), and nowhere else. Every copy is item level 100, and there 0.3% of what falls comes up Unique. It is built on Sovereign Saint's Helm — step 6 of the Saint's Helm line, item level 80 and up.

It always rolls the same numbers: +104 Ward, +327 Maximum Health, +63 Ward, +54 Magic Defense, +469 Ward, +150 Magic Defense and +55% Healing Power.

One Unique drop in 40 is a Mythical copy: the same item carrying 15–25% Mythical Energy that boosts every stat on it and can never be changed; the 15% floor is 10 times as common as the perfect 25%.

On top of that it carries Saint's Last Breath — +25% Ward; Special healing +30%.

“Worn by a healer who refused to stop. The halo never dimmed.”