Inscribed Skull of the Narcissistic Leech is a Dota 2 item of Rare rarity. On DotaLoot you can win it in free giveaways or earn it with Battle Pass levels.
You can get Inscribed Skull of the Narcissistic Leech for free in daily DotaLoot giveaways or with Battle Pass levels. The fastest way is opening cases — noticeably cheaper than buying it on the market.