Originally Posted by DROGTURIST
For the final item, maybe it's character specific? I was thinking that since you unlock the vampire hunter guy by going to one "haunted tower," using him in the other and killing Vlad might yield something? Probably not.
It's possible. Identifying this final item is officially the last thing I need to do in the game, so I'm going to make a few more Hell runs to see what I can uncover. I searched Yama's room pretty thoroughly after killing him, so it must just be hidden somewhere in the normal Hell levels. I hope!