The Rot Ledger is a Demon Unique tome with no boss attached: it drops anywhere in Nightmare, most often from N3 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 Exalted Miasma Tome — step 6 of the Miasma Tome line, item level 80 and up.

It always rolls the same numbers: +48 Power, +13% Poison Damage, +11% Poison Damage, +17% Venom Effect, +26% Cooldown Recovery, +36% Venom Effect and +36% Poison Damage.

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 The Rot Ledger — Your Special applies Venom.

It leans into Venom.

Wearing it hands you Tome Pulse.

“Every debt collected, with interest, in time.”