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U4GM - 6 Elden Ring Items That Grant Access to Exclusive Quests

In Elden Ring, the world is full of hidden quests, secret areas, and character arcs that can be completely missed if you don’t have the right items at the right time. Some of the most compelling and lore-rich side quests are locked behind key items—often tucked away in obscure corners of the Lands Between. If you're aiming for a deeper understanding of the game's world or chasing multiple endings, these items are essential.

Here are six Elden Ring items that unlock exclusive questlines, and how to get the most out of them.

1. Haligtree Secret Medallion (Left and Right)

This item is crucial for accessing one of the most hidden and challenging areas in the game—Miquella's Haligtree. Once both halves of the medallion are obtained and presented at the Grand Lift of Rold, you can unlock the Consecrated Snowfield, which eventually leads to the Haligtree region and the Malenia boss fight.

It also triggers dialogues and quest progressions related to Latenna and other characters tied to the Haligtree. Missing this means missing some of the most intricate late-game content.

For players looking to rush this area or optimize their build beforehand, many turn to Elden Ring Items for sale to quickly prepare for the high-difficulty spike.

2. Pureblood Knight’s Medal

Given to you by White Mask Varre, this item lets you teleport directly to Mohgwyn Palace—an area otherwise hidden until much later. Mohgwyn Palace is not only a stunning location but also key to Varre’s storyline and Mohg's lore.

This area is a hotspot for rune farming, and it’s a common stop for players seeking to level up rapidly. Some even seek the best site to buy Elden Ring Runes before heading into the area to ensure they’re ready for what’s ahead.

3. Academy Glintstone Key

This key opens the gates to Raya Lucaria Academy, but more importantly, it also unlocks various side quests tied to sorcery-focused NPCs like Sellen. Her storyline—one of the most layered in the game—only progresses once you’ve explored the Academy fully and confronted certain bosses.

There’s also a second Glintstone Key that allows you to bring someone else into the Academy later on, depending on your choices, deepening the questline further.

4. Sewers-Gaol Key

This easily missed item grants access to the Subterranean Shunning-Grounds beneath Leyndell. It’s required to free the Dung Eater from his cell, which is the first step in one of the game’s darkest and most disturbing questlines.

Completing this quest leads to the Blessing of Despair ending and unlocks gear and lore related to the cursed lineage of the Dung Eater. It’s a must-do for completionists and lore enthusiasts alike.

Given the strength of enemies in this area, players sometimes look to U4GM to acquire higher-tier gear before diving into the sewers.

5. Imbued Sword Keys

These special keys are used at the Four Belfries to unlock portals to unique zones. While not traditional quests, these areas offer one-time challenges, hidden bosses, and critical narrative threads that connect to major story events.

For example, one of the portals leads you back to the Chapel of Anticipation, where you can face the Grafted Scion that likely defeated you at the beginning of the game. Another leads to Nokron, tying into Ranni’s quest.

6. Carian Inverted Statue

This item, acquired through Ranni’s questline, allows you to invert the Carian Study Hall, drastically changing the layout and unlocking access to key locations and lore reveals. It’s required for advancing both Ranni’s and Fia’s quests.

Many players miss this interaction entirely, assuming the Study Hall is a dead end. But with the Inverted Statue, it becomes one of the most unique and memorable areas in the game.


Items in Elden Ring often carry more weight than just stats or effects—they serve as keys to deeper stories, exclusive zones, and game-defining choices. Missing just one of these could mean locking yourself out of entire questlines, optional bosses, or even endings.

If you're revisiting the game or building toward full completion, using tools like U4GM to prepare for specific areas is something many players do to save time and effort. Either way, exploring the narrative through these quest-related items is one of the most rewarding parts of the Elden Ring experience.

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