Casting Bones - same as that used by witch doctors.
This powerful magic item was created to augment Alienists, a prestige class in the Tome and Blood.
Circlet of Amplus Ater Iris meaning “Circlet of The Great Dark Messenger” (Amplus - great, important; Ater - dark, malicious; Iris - messenger of the gods. Thought by some to mean Nyarlathotep)
Temple of some malign being invites you warmly and offers help (curing,needed spell etc) for some minor sacrifice . Sacrifices must be everytime bigger to work - up to living inteligent creatures. Maybe you pay some other price,too...