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A karam. overlord pouch is a Summoning pouch used to summon a karamthulu overlord familiar.
The pouch is made at 58 from an empty summoning pouch, 144 spirit shards, a blue charm and an empty fishbowl. Doing so grants 510.4 Summoning XP.
Using the pouch to summon a familiar provides 5.8 Summoning XP and costs 6 summoning points.