The chaos talisman is an item that allows players to enter the chaos altar in the Wilderness just north-west of Edgeville. It can be combined with a tiara to make a chaos tiara for 42.5 Runecraft experience. This will make the talisman disappear, but the tiara will allow one-click entry to the chaos altar when worn. Both the tiara and the talisman allow players to craft chaos runes.
The chaos talisman is also a part of the rare drop table, therefore any monster with access to the rare drop table has a chance of either dropping this talisman or a nature talisman (with a couple of exceptions being able to drop both, such as fire giants and abyssal demons). Mid-level ironmen might find it easiest to get this by fighting Abyssal Leaches in the Abyssal Area using the Fairy Ring circles.
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For an exhaustive list of all known sources for this item, see here