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That said you can use many different items in addition to the others listed in the first post and still have great results with Noel. Breastplate and Raven Feather could both do well too, heck you could even replace Gorilla's Paw with GWS Pill and still do well. The amount of flexibility is quite high due to having so much HP and damage just with the basic setup which is one of the reasons I enjoy using her so much.