The Nightmare Visage is a standalone armor piece that can be obtained in the Nightmare and one of the many collectibles that are needed by the players in order to complete the entries of the Itempedia of the Nightmare. The Nightmare Visage is given as a 'reward' when The Vault is unlocked and entered for the first time.
The visage appears to be made out of hardened iron and 'dark iron'-like materials. The visage attempts to capture the face of a menacing, nightmarish humanoid-like entity. Tiny red pupils can be seen in the eyesockets of the visage. Once equipped, large antlers will sprout out of the helmet of what resemble small mechanical wings.
Once equipped, the Nightmare Visage will provide 15 armor points to the players, slightly increasing their protection. In addition, it will also provide 65 additional points to all damage-types, increasing the number of damage players can inflict on their opponents.
- If the players accidentally lost or drop their visage, they can talk to the Pig in Topple Town to acquire another Nightmare Visage.
- The Nightmare Visage is one of the few items where its full appearance isn't shown in the decal used to represent the model.