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The Toughness (enchantment) item enchantment has been retyped as Vitality. This post'[UnverifiedThis article has not been verified in-game. Please verify it!] suggests that the change may be retconned to existing Toughness items.
Confirmed on my Thaarak Bracelet. Toughness has been retroactively changed to Vitality +20.
Snake (Contributions • Message) 13:11, May 22, 2013 (EDT)