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

A D&D token (the circus) is an item that was a possible prize from the Squeal of Fortune, granting the player an extra round of training at Balthazar Beauregard's Big Top Bonanza and its corresponding reward. Players may only claim one token per week.