Zombie head
D&D token (tears of guthix) was removed from RuneScape after an update, but still exists in-game for those who had obtained it.
[FAQ] • [doc]
D&D token (tears of guthix) detail

A D&D token (tears of Guthix) is an item gained from the Squeal of Fortune that granting the player an extra attempt at Tears of Guthix and its corresponding reward. The cooldown time is reset and the experience and quest point requirement is waived allowing instant access to Tears of Guthix even if you have just collected tears. Only one Tears of Guthix token can be used per week.