Blue skull effigy

 is an item in Outward.

Description
"Carved idol, infused with Blue Sand. The venerable ancestors would be satisfied with this opulent gift."

Acquired From
The Blue Skull Effigies can be found in the Necropolis protected by savage spirits. If you collect them all there is a room in the Necropolis where you will find Cremeuh Ayere, a gravekeeper. When you hand them over you will receive an Ornate Bone Shield that you may use.

The skulls are seated on pedestals, 2 on each side of the second level of the Necropolis. When you take an effigy, a Purple Ghosts or Red Ghost will appear and become aggressive.