3 El Runes becomes 1 Eld Rune
3 Eld Runes becomes 1 Tir Rune
3 Tir Runes becomes 1 Nef Rune
3 Nef Runes becomes 1 Eth Rune
3 Eth Runes becomes 1 Ith Rune
3 Ith Runes becomes 1 Tal Rune
3 Tal Runes becomes 1 Ral Rune
3 Ral Runes becomes 1 Ort Rune
3 Ort Runes becomes 1 Thul Rune
3 Perfect Skulls, 1 Rare item, and a Stone of Jordan becomes an added socket to a rare item (to a zero socket item)
1 Perfect Skull, 1 Rare item, and a Stone of Jordan becomes a High Quality new rare item of same type.
6 Perfect Skulls and 1 Rare item becomes 1 random low quality rare item of same type
4 Health potions, a ruby, and a magical sword becomes a Magical Sword of the Leech
3 small rejuvenation potions become 1 full rejuvenation potion
3 gems (same type and grade) become one higher grade gem of the same type
2 quivers of bolts become 1 quiver of arrows
2 quivers of arrows become 1 quiver of bolts
3 Magic Rings become 1 random Magic Amulet
3 Magic Amulets become 1 random Magic Ring
1 spear and 1 quiver of arrows becomes 1 stack of javelins
1 axe and 1 dagger become a throwing axe
3 perfect gems and a Magic Item become 1 new random Magic Item of the same type
strangling gas potion and healing potion become 1 antidote potion
6 Perfect Gems (one of each type) and a Magic amulet becomes a Prismatic Amulet
1 Magic Ring, 1 Antidote potion, and 1 Perfect Emerald become 1 Jade Ring
1 Magic Ring, 1 exploding potion, and 1 Perfect Ruby become 1 Garnet Ring
1 Magic Ring, 1 rejuvenation potion, and 1 Perfect Topaz become 1 Coral Ring
1 Magic ring, 1 thawing potion, and 1 Perfect Sapphire become 1 Cobalt Ring
1 Magic shield, 1 spiked club, and 2 skulls become a Magic Shield of Spikes
Wirt's Leg and a tome of town portal become the portal to the secret cow level
Diamond, staff, kris, and a belt become a savage polearm class weapon