The dragon med helm is a piece of armour which requires 60 Defence to equip. It was the first piece of dragon armour to be released.
Zulrah, revenants, Sarachnis and some dragons can drop the dragon med helm. Any monster that has access to the standard rare drop table can also drop the dragon med helm. It can also be found in the Barrows chest as a separate item with 1012 rewards potential and all brothers killed.
Offering slightly more defensive power than the helm of neitiznot, the dragon med helm is one of the most powerful non-degradable helmets in the game. Many players, however, favour other helmets that provide a strength, or attack bonus, or penalise ranged and magic bonuses less. Also, the dragon med helm is often considered less prestigious than other helmets due to its lack of any quest requirements. However, it is still a very practical item.
As with most Dragon equipment, players cannot make this item using the Smithing skill.
A player wearing a dragon med helm.
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For an exhaustive list of all known sources for this item, see here