Amulet of Health 5e magic item

Wondrous item, rare (requires attunement) · 2024 version below

Type: Wondrous Items
Rarity: Rare
Attunement: Required
Price (2014): 501–5,000 gp (DMG value range)
Price (2024): 4,000 gp

Your Constitution score is 19 while you wear this amulet. It has no effect on you if your Constitution is already 19 or higher

How the Amulet of Health plays

While you wear it, your Constitution score is 19, a +4 modifier. If your Constitution is already 19 or higher, it does nothing. It’s rare and requires attunement.

The payoff is hit points. When your Constitution modifier changes, your hit point maximum changes as though you’d had the new modifier since 1st level. A 10th-level wizard with Constitution 12 goes from +1 to +4 per level: 30 more hit points the moment the amulet goes on. It also improves Constitution saving throws, including the ones that keep concentration going.

Who should wear it

Characters with low Constitution, usually wizards, sorcerers, rogues and bards who put their scores elsewhere. The lower your Constitution, the bigger the gain.
Concentration casters. Going from +1 to +4 on Constitution saves keeps spells like Haste and Spirit Guardians running through hits.
Not for a barbarian with 18 or 20. At 18 it’s only +1 to the score; at 19 or more it’s dead weight.

Common questions

How many hit points does an Amulet of Health add?

Your new Constitution modifier (+4) minus your old one, times your character level. From Constitution 10 at 8th level, that’s 32 extra hit points. They go away when you take it off.

Does it stack with raising my Constitution?

No. It sets your score to 19. If an Ability Score Improvement later takes your own Constitution to 19 or 20, the amulet stops doing anything.

Can it raise Constitution above 20?

No. It sets the score to exactly 19. Only the Manual of Bodily Health and a few other rare effects push Constitution past 20.

Does it help concentration?

Yes. Concentration checks are Constitution saving throws, so the +4 modifier applies to every one.

Is the Amulet of Health worth an attunement slot?

For a character with Constitution 14 or less, usually yes: it’s a large, permanent pile of hit points and better concentration. For one with 16, it’s +1 to the modifier, and other rare items may do more.

How much is an Amulet of Health worth?

It’s rare. The Dungeon Master’s Guide puts rare items at 501 to 5,000 gp, and the builder’s Standard Conversion prices them at 5,000 gp.

Amulet of Health compared with similar items

Item	How it compares
Belt of Giant Strength	Rare to legendary: sets Strength to 21–29. The same idea, and it can go past 20.
Headband of Intellect	Uncommon: sets Intelligence to 19. The wizard’s version for a character who dumped Intelligence.
Gauntlets of Ogre Power	Uncommon: sets Strength to 19.
Manual of Bodily Health	Very rare: +2 Constitution and +2 to its maximum, permanently, with no attunement.
Ioun Stone of Fortitude	Very rare: +2 Constitution, but only up to 20. Better if your Constitution is already 18.

Amulet of Health in the 2024 rules

The 2024 Dungeon Master’s Guide revised the magic items, and the SRD 5.2 carries the new text. What changed:

Same rarity and attunement; the text is reworded for the 2024 rules glossary.

Type: Wondrous Item
Rarity: Rare
Attunement: Required

Your Constitution is 19 while you wear this amulet. It has no effect on you if your Constitution is 19 or higher without it.

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