Spire of Lazarus is a Unique Gnarled Staff in Diablo 2 Resurrected (D2R). This normal Staff has a quality level of 24 and a treasure class of 12. This is the only Unique item in the game that has +X to Chain Lightning (Sorceress Only) attribute.
The fastest way to get this item on Battle.net is via trading, you can use the Item Price Checker to see how much Spire of Lazarus is worth.
Farming it by killing monsters is possible, check the drop rate table below for more information.
It can also be gambled but the chances are very slim.
Spire of Lazarus drop rate table
The monster with the highest drop chance of dropping Spire of Lazarus is Mephisto on Normal difficulty in Durance of Hate Level 3 of Act 3. Farming the monsters listed below gives you the highest chance of finding that item.
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Spire of Lazarus variants
Below is a list with different variants of Spire of Lazarus. See the stats of its normal, ethereal or upgraded variant.