The NetHack item which makes wearing random amulets hazardous. The amulet of strangulation is always found cursed (it might even auto-curse) and strangles you in 6 turns if you put it on. Prayer is your only hope with this one.

If you polymorph into a metallivore and devour the amulet, you will instantly choke, with a 1/20th chance of survival. You are what you eat, even in NetHack (perhaps especially in NetHack). Don't eat random amulets.

Although this explanation largely refers to NetHack, there is an AD&D version as well (after all, NH was largely derived from AD&D).

I will nobly pass up the opportunity for a lame joke regarding possible uses of this amulet during an encounter with a succubus or incubus.

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