The dwarven helmet is obtained as a reward for completing the quest Grim Tales.
If lost, a replacement can be obtained by talking to Rupert the beard beside Miazrqa's tower, where he was kept prisoner during Grim Tales (between Goblin Village and Ice Mountain), for a fee of 60,000 coins. A Defence level of 50, as well as completion of the quest Grim Tales, is required in order to wear the dwarven helmet.
The dwarven helmet has similar stats to a rune full helm, though it is worth noting that it has a +6 Crush attack bonus, making it the second highest for crush attack bonus after Inquisitor's Great Helm. It is also unusual for being a melee helmet with a magic defence bonus.
Wearing the helmet inside the Dwarven mines is a hard requirement for the Falador Diary.
It is somewhat popular to wear when fighting Vet'ion, Sarachnis and The Nightmare.
A player wearing a dwarven helmet.
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