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The Pendant of the Endurer is an Pre-Hardmodeaccessory dropped by the Manifestation of Pinky. It increases damage reduction by 8%, 12% while the player is under 25% health and max health is increased by 20.
The Pendant of the Endurer can be acquired very early. Because of this, and the wide array of bonuses the item provides, this can be a very helpful accessory early on.