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)
Foot Coral. It attatches to a foot like moss, almost gluing itself to an organism. It gets its food supply from the ground, and does not leech off the host in any way. It is not a malignant organism, and is entirely harmless. But it only grows on human feet, and even then, never on the left foot. An organism that it grows on can feel touch through the coral, but not pain. Removal of the coral is painless, but why would you want to?
Texturally, if fells like a dry, non slimy amoeba.