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A karam. overlord pouch is a Summoning pouch used to summon a karamthulu overlord familiar.
The pouch is made by using a karam. overlord pouch(u) on an obelisk. Doing so requires level 58 and grants 510.4 Summoning XP.
Using the pouch to summon a familiar provides 5.8 Summoning XP and costs 6 summoning points.