By GamGem ResearchLast updated 9 Oct 2026

Tumor of the Swarm — Trinket drop, item level & who can use it
Rare trinket from Atroxus in Voidscar Arena: item level 292–311 by difficulty. 21 specs can use it — it carries Strength or Agility. Its effect decides more than its item level, so sim it.
why?
+3 item levels, but its effect decides — item level alone can’t price it.
Top keys: 6 specs wear it — most, 55% of Brewmaster Monk (n 318, #1 of 12 in trinkets), week of Oct 6–14. Every spec ›
why?
Equip: Your attacks have a chance to release toxic parasites that burst around you, dealing 173 Nature damage split among nearby enemies and healing you for 132.
What actually changes?
why?
Shares of each item’s secondary rating, from Blizzard’s item records; the raw numbers sit at different preview levels, so they are not compared. Rows that move 20 points or more are lit.
How far can it grow?
why?
- Adventurermax 282
Veteranmax 295
Championmax 308
Heromax 321
Mythmax 334
Sockets & extras
Socketsnone on this item0- Unique-equippedone at a timeyes
What does it compete with?
why?
311 · dropped on +10 and up
Font of Venomous Rage (315)Ula'tek · The Venomous AbyssOut-levels itMastery
Hex Lord's Dooming Idol (315)The Coiled Altar · The Venomous AbyssOut-levels itHaste
Voracious Heart of Ula'tek (315)Ula'tek · The Venomous AbyssOut-levels itCrit
Zul'jin's Guillotine Technique (315)The Coiled Altar · The Venomous AbyssOut-levels itno secondaries
Idol of the Howling Nexus (311)Sszorak · The Venomous AbyssSame levelMastery
Its effect makes it a different job from the stat-only rivals — a sim decides here, not item level.
Which specs want it?
trinket · 21 of 40 specs can use itwhy?
It has no secondary stats, so no stat order applies — what it does is in its effect or its look.
Can use it · game data · full BiS lists
- Death KnightBloodMethodWowheadFrostMethodWowheadUnholyMethodWowhead
- Demon HunterHavocMethodWowheadVengeanceMethodWowhead
- DruidFeralMethodWowheadGuardianMethodWowhead
- HunterBeast MasteryMethodWowheadMarksmanshipMethodWowheadSurvivalMethodWowhead
- MonkBrewmasterMethodWowheadWindwalkerMethodWowhead
- PaladinProtectionMethodWowheadRetributionMethodWowhead
- RogueAssassinationMethodWowheadOutlawMethodWowheadSubtletyMethodWowhead
- ShamanEnhancementMethodWowhead
- WarriorArmsMethodWowheadFuryMethodWowheadProtectionMethodWowhead
Who can use it: 6 tanks · 0 healers · 15 damage
Without its primary stat · 19 specs: Devourer Demon Hunter · Balance Druid · Restoration Druid · Augmentation Evoker · Devastation Evoker · Preservation Evoker · Arcane Mage · Fire Mage · Frost Mage · Mistweaver Monk · Holy Paladin · Discipline Priest · Holy Priest · Shadow Priest · Elemental Shaman · Restoration Shaman · Affliction Warlock · Demonology Warlock · Destruction Warlock
Stat fit is our comparison of the item’s two biggest secondary stats with a stat order a GamGem spec guide sources — not a guide’s pick. The BiS links open each spec’s own page on Method and Wowhead. Every class and spec ›
Where to get it again?
why?
AtroxusVoidscar Arena · End-of-dungeon chest
Voidscar ArenaMythic+ · end-of-dungeon chestOpen ›
No lockoutRaid Finder, Normal and Heroic bosses give loot once per difficulty each week; Mythic+ keys have no lockout.repeatable
Great Vault+10 and up · Myth 1/6318
Effort to target: repeatable · 7 other items share its table
Who wears it in top keys
6 of 40 specs · +16–23 keys, US+EU, week of Oct 6–14 (Blizzard API)- Brewmaster Monk55%#1 of 12 trinkets · n 318 · +16–22
- Vengeance Demon Hunter22%#3 of 10 trinkets · n 312 · +17–21
- Protection Warrior21%#3 of 12 trinkets · n 310 · +17–20
- Guardian Druid16%#4 of 8 trinkets · n 338 · +20–23
- Protection Paladin9%#8 of 9 trinkets · n 326 · +18–22
- Blood Death Knight5%#6 of 6 trinkets · n 335 · +19–22
Share = of that spec’s top-key characters still in the spec when read, the part wearing this item in that slot (rings and trinkets: either slot). Counted by GamGem from Blizzard’s Mythic+ leaderboards and character profiles, 11,985 characters, read 2026-10-09. Top keys, not all players — what they wear, not a ranking of the item.
How sure is this?
why?
Where evidence disagrees
- • It carries Strength or Agility: one piece serves specs of 2 kinds, so they can want the same drop.
- • The Great Vault pays 318 for +10 and up — more than the drop itself (311).
What else to look at?
Font of Venomous RageTrinket · The Venomous Abyss315
Hex Lord's Dooming IdolTrinket · The Venomous Abyss315
Voracious Heart of Ula'tekTrinket · The Venomous Abyss315
Zul'jin's Guillotine TechniqueTrinket · The Venomous Abyss315
Idol of the Howling NexusTrinket · The Venomous Abyss311
Preternatural AntivenomTrinket · The Venomous Abyss311
Sszorak's FerocityTrinket · The Venomous Abyss311
Vashnik's Sanguine RancorTrinket · The Venomous Abyss311
Share with the group
Tumor of the Swarm — 311 Trinket SIM NEEDED: 308 → 311 · +10 and up · Mythic+ Effect: Equip: Your attacks have a chance to release toxic parasites that burst around you, dealing 173 Nature damage split among nearby enemies and healing you for 132. Source: Atroxus · Voidscar Arena Can use it: 21 of 40 specs Checked 2026-10-09 · Blizzard API data · GamGem
Ask about this drop
Try: “is it an upgrade?” · “where does it drop?” · “who can use it?” · “item level on Mythic?”
Full item record
IDs, raw stats, effects, flavour text
- Environment
- Live 12.1 — the 12.1.5 PTR is not mixed in
- Item ID
- 250245
- Quality (base)
- Rare
- Type
- Armor · Miscellaneous
- Binding
- Binds when picked up
- Required level
- 78
- Preview item level
- 108 (Blizzard’s record — not the drop level)
- Stats at preview level
- Agility 7 · Strength 7
- Effect 1
- Equip: Your attacks have a chance to release toxic parasites that burst around you, dealing 173 Nature damage split among nearby enemies and healing you for 132.
- Sockets
- 0
- Unique-equipped
- Unique-Equipped
Voidscar Arena on video
Published by Tactyks on YouTube, 5 August 2026.
It plays in YouTube’s own player once you press play. Nothing is downloaded or re-hosted here, and nothing loads from YouTube until then.
Tumor of the Swarm — quick answers
Where does Tumor of the Swarm drop?
Atroxus in Voidscar Arena (End-of-dungeon chest), in Midnight Season 2. No source publishes its drop rate.
What item level is Tumor of the Swarm?
Mythic 0 292 · +2–3 295 · +4 298 · +5 302 · +6–7 305 · +8–9 308 · +10 and up 311. Item levels are the season’s track table, by difficulty or key level.
Which specs can use Tumor of the Swarm?
21 of 40: Blood Death Knight, Frost Death Knight, Unholy Death Knight, Havoc Demon Hunter, Vengeance Demon Hunter, Feral Druid, Guardian Druid, Beast Mastery Hunter, Marksmanship Hunter, Survival Hunter, Brewmaster Monk, Windwalker Monk, Protection Paladin, Retribution Paladin, Assassination Rogue, Outlaw Rogue, Subtlety Rogue, Enhancement Shaman, Arms Warrior, Fury Warrior, Protection Warrior.
Who uses Tumor of the Swarm in Mythic+?
6 of 40 specs wear it in top keys — Brewmaster Monk 55% (#1 in trinkets, n 318), Vengeance Demon Hunter 22% (#3 in trinkets, n 312), Protection Warrior 21% (#3 in trinkets, n 310), Guardian Druid 16% (#4 in trinkets, n 338), Protection Paladin 9% (#8 in trinkets, n 326). +16–23 keys, US+EU, week of Oct 6–14 (Blizzard API); 11,985 characters read. A measurement of top keys, not a ranking of the item.
What does Tumor of the Swarm do?
Equip: Your attacks have a chance to release toxic parasites that burst around you, dealing 173 Nature damage split among nearby enemies and healing you for 132. (Blizzard’s record, at its preview item level.)
What competes with Tumor of the Swarm?
32 items for the same slot: Font of Venomous Rage, Hex Lord's Dooming Idol, Voracious Heart of Ula'tek, Zul'jin's Guillotine Technique….
Sources & how we checked
We read Blizzard’s Item API for this item (ID 250245) on 2026-10-09 and took its boss from Blizzard’s Adventure Guide journal. Its item levels are the season’s track table, read for its source by difficulty. Who can use it joins each class’s armour and weapon skills (Warcraft Wiki) with each spec’s primary stat (Blizzard). Stat fit is our own comparison with a stat order a GamGem spec guide sources. Nothing here comes from a sim or from logs.
- Blizzard — Game Data API: items, journal, specializations · Every item’s stats, effects, sockets and set · the journal’s boss lists · each spec’s role and primary stat · read 2026-10-09
- Warcraft Wiki — Lockout · Raid loot once per boss per difficulty a week · no lockout on Mythic+ keys · read 2026-10-09
- Warcraft Wiki — each class’s page · Weapon skills per class (each class row links its own page) · read 2026-10-09
- Method — Season 2 upgrade tracks · Champion, Hero and Myth ranks · 344 · read 2026-10-07
- Method — raid, Mythic+, Delve and Prey loot · End-of-run chest · boss groups · Lair · Delves · Prey · read 2026-10-07
- Method — Great Vault item levels · Vault by key, tier and difficulty · slots at 1/4/8 and 2/4/6 · read 2026-10-07
- Warcraft Wiki — Armor · Which classes wear cloth, leather, mail and plate · read 2026-10-07
Midnight Season 2 · live patch 12.1 (the 12.1.5 PTR is not mixed in) · item data from Blizzard’s Game Data API, read 2026-10-09. Item levels are the season’s track table; spec fit is game data; stat fit is our own comparison. No player names, profiles or logos. Your item level, difficulty and spec are saved in this browser only.

