If you make one(get one), it acts as a talisman of air. It is wearable. When you are wearing this item, you can simply right click on the air altar and select ENTER.
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Bring a water talisman, a plain tiara then go to the water altar, and use the tiara on it, you will lose the water talisman, but you will obtain a water tiara.
To make a mind tiara, take a normal tiara and a mind talisman to the mind altar.
You get a tiara mould and a silver. then u use the silver bar on to a furnese and make a tirara
A mind tiara is a mind talisman that you wear. If you do not know what a mind talisman is, Well than a mind tiara is used for making mind runes, it helps you find the mind runecrafting place and you need a mind tiara/talisman to craft mind runes!
If you are asking how to make a normal tiara into a water tiara then it is simple. You take a water talisman and a normal tiara into the water alter. Use the talisman on the alter and it should make the tiara into a water tiara which allows one click entry to the alter and one more rune spot to craft.