The difference of Magic Items is that Suffixes and the Prefixes are random, and their effects are random within a 3 Perfect Gems (of any type, including Skulls) + 1 Magic Item –> 1 New Random Magic Item of the Same Type. 3 Perfect Gems (of any type, including Skulls) + 1 Magic Item -> 1 New Random Magic Item of the Same Type Rerolling a magic item with 3 perfect gems is sometimes referred to as cubing.
