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Main article: Gensokyo/Accessories

Accessory Source Effect Obtainable Pre-Hardmode Visible on Character
Gensokyo/Cloak of DarknessCloak of Darkness 33% chance to be dropped by Rumia Less likely to be attacked by enemies, especially in the dark. Nearby enemies may be confused. Slightly reduced damage from hostile projectiles.
Gensokyo/OsmeteriumOsmeterium 33% chance to be dropped by Eternity Larva Release clouds of stinky gas when hit in melee, knocking back enemies.
Gensokyo/Wooden BucketWooden Bucket 33% chance to be dropped by Kisume Double-tap DOWN for a ground-pound attack. +3 defense.
Gensokyo/Red RibbonRed Ribbon 33% chance to be dropped by Hina Kagiyama Gain regeneration when under the effect of a debuff. Pulls debuffs from nearby allied players to the wearer.
Gensokyo/Lily-of-the-ValleyLily-of-the-Valley 33% chance to be dropped by Medicine Melancholy Melee weapons apply venom.
Gensokyo/Kappa Optical Camouflage DeviceKappa Optical Camouflage Device 25% chance to be dropped by Nitori Kawashiro Turn invisible when standing still, gaining increased ranged damage. While underwater, increases ranged damage by 10% and increases movement speed.
Gensokyo/Maple ShieldMaple Shield Sold by Curio Trader +2 defense and +5% melee critical strike chance. Double-tap DOWN to temporarily gain damage resistance at the expense of movement speed.
Gensokyo/Grimoire of AliceGrimoire of Alice 33% change to be dropped by Alice Margatroid 10% increased magic and summon damage. Increases max number of minions by 1 and maximum mana by 20.
Gensokyo/Enchanted HourglassEnchanted Hourglass 25% change to be dropped by Sakuya Izayoi Cooldown of Multi-Use items reduced by 10.
Gensokyo/Haniwa Lance Corporal InsigniaHaniwa Lance Corporal Insignia 33% change to be dropped by Mayumi Joutouguu Defense increased by 2 for each filled minion slot. Melee, ranged and magic damage increased by 3% for each filled minion slot.
Gensokyo/Royal CapeRoyal Cape 33% change to be dropped by Toyosatomimi no Miko Melee and magic damage increased by 9%. Double-tap UP to teleport to the cursor (range limit: 30 tiles).
Gensokyo/Buddha's Begging BowlBuddha's Begging Bowl 20% change to be dropped by Kaguya Houraisan Magic damage done to enemies restores mana. 25% decreased magic damage.
Gensokyo/Fire-Rat's RobeFire-Rat's Robe 20% change to be dropped by Kaguya Houraisan +2 defense, immunity to fire blocks and the On Fire debuff. Ignites nearby enemies.
Gensokyo/Swallow's Cowrie ShellSwallow's Cowrie Shell 20% change to be dropped by Kaguya Houraisan Restores 15% health when the player takes a deadly hit. 30 seconds cooldown.
Gensokyo/Buddhist DiamondBuddhist Diamond Crafted at Tinkerer's Workshop Magic damage done to enemies restores mana. Increased mana star pickup range. 10% decreased magic damage.
Gensokyo/Salamander ShieldSalamander Shield Crafted at Tinkerer's Workshop +6 defense, has effects of Ankh Shield and Fire-Rat's Robe.
Gensokyo/Eye of YatagarasuEye of Yatagarasu 33% change to be dropped by Utsuho Reiuji +15% damage, +10% crit chance. Immunity to fire, lava and cursed inferno.
Gensokyo/Cleansed Crystal MirrorCleansed Crystal Mirror Sold by Curio Trader Creates mirrors that orbit the player and destroy hostile projectiles on contact, replacing them with two friendly projectiles; one heals the player, the other homes in on enemies.
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