In Diablo II Resurrected, Howltusk is part of the Great Helm 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 25 to carry this item. This Great Helm has a Strength Requirement of 63 before it can be used.
This is the normal version of this Helm. It can be upgraded to the exceptional version by putting it into the Horadric Cube. After hitting the transmute button it will be called Winged Helm. After that, it can be upgraded even further by repeating the steps and you will receive the Elite Version (Spired 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: