How to Get the Tuskhelm of Joritz the Mighty

While this Unique Helm can technically drop from any high-level loot source in Sanctuary, your best bet is to focus on targeted farming. Below are the most efficient methods to obtain it.

1. Target Farm Uber Bosses in Kehjistan

The most reliable way to obtain the Tuskhelm is by Diablo 4 Items defeating Echo of Duriel and Echo of Andariel - two of the most rewarding Uber Bosses currently in Diablo 4. Both have a high chance of dropping endgame Uniques, including the Tuskhelm of Joritz the Mighty.

Echo of Duriel, the Maggot King

Location: Gaping Crevasse Dungeon, south of Gea Kul (Kehjistan)
Difficulty: Torment only
Summoning Cost: 3× Shards of Agony

You can acquire Shards of Agony by defeating:

Grigoire, the Faminekeeper
Varshan, the Consumed
Completing Kurast Undercity events

Defeating Duriel grants access to his boss's hoard, which has one of the best loot pools in the game for high-end Uniques.

Echo of Andariel, the Maiden of Anguish

Location: Hanged Man's Hall Dungeon, east of Tarsarak Waypoint (Kehjistan)
Difficulty: Torment only
Summoning Cost: 3× Pincushioned Dolls

Pincushioned Dolls can be obtained from:

The Beast in the Ice
Lord Zir
Kurast Undercity encounters

Both Andariel and Duriel are incredibly efficient sources for endgame Barbarian Uniques, making them the best bosses to farm the Tuskhelm.

2. Random World Drops

The Tuskhelm of Joritz the Mighty can also drop as a random Unique from almost any high-level source in Torment difficulty. While the drop rate is low, you can still find it from:

World Bosses

Nightmare Dungeons
Legion Events
Elite enemies
Treasure chests and destructible objects

Consistent farming at higher World Tiers naturally increases your odds of finding Uniques, so make sure to push Torment-tier content whenever possible.

3. Hourly Helltide Events

Helltides remain one of the most efficient ways to farm Uniques without depending on Uber Bosses. Participate in these rotating events to gather Aberrant Cinders, then open Mystery Chests scattered throughout the region.

For the Tuskhelm, focus on Helmet Mystery Chests, as these chests have an increased chance of dropping Uniques in that gear slot. Farming Helltides during double-cinder or double-drop events can be especially rewarding, making it a great activity for solo or group players alike.

4. Gambling with Obols at the Purveyor of Curiosities

If you have excess Murky Obols, you can gamble for Helms at the Purveyor of Curiosities found in major towns. While this method relies heavily on luck - and the odds of hitting a Unique are slim - it's still worth trying if you've built up a large Obol reserve. Every gamble gives a chance, and you might just walk away with a Tuskhelm instead of another rare item.

Buy Diablo IV Items and Boost Your Build

If farming isn't your style or you're short on time, you can also buy Diablo IV Items or trade with other players to complete your Berserker loadout faster, allowing you to gear up efficiently without hours of grinding.

Purchasing or trading for the Tuskhelm of Joritz the Mighty is a convenient way to jump straight into endgame content, especially for those focused on cheap d4 mats speed farming, Uber Boss runs, or PvP builds.