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Living Shoulders

Rare · Leather shoulder · item level 54 · requires level 49

On Wowhead ↗

Who can use it

WarriorPaladinHunterRogueShamanDruid PriestMageWarlock

From the item's own class limits and the classic armor and weapon rules (leather); WoW Forever may differ.

Where it comes from

Crafted

ProfessionSkillRecipeMade from
Leatherworking 245 Pattern: Living Shoulders 12× Rugged Leather, 4× Living Essence, 1× Rune Thread

Seen in game

Not seen yet - nobody in an uploaded log wore it, and the addon hasn't seen it. It's in the game files, but that doesn't prove it's obtainable.