In Diablo II Resurrected, Giant Skull is part of the Bone Visage category and one of many unique Helms in D2R. It is an item of average size, taking 4 Blocks of space if you want to store it in the inventory or stash. Your character needs to reach at least the Required Level of 65 to carry this item. This Bone Visage has a Strength Requirement of 106 before it can be used. This Helm can have a variable amount of sockets.
This is already the elite version of this Helm, so it cannot be upgraded any further. The normal version is called Bone Helm, while the exceptional version is Grim Helm.
Note: If this item can have sockets, you might be able to get some runes and get one of the runewords as a result - if you place them in the correct order.
Have a look at our builds to find out which items make the most sense for the character you're currently playing.
Below is a list of variations we can get for you from our network of trusted trade partners: