Zulrah, revenants and some dragons can drop the dragon med helm. Any monster that has access to the rare drop table can also drop the dragon med helm. It can also be found in the Barrows chest as a separate item with 1012 rewards potential and all brothers killed.
Offering slightly more defensive power than the helm of neitiznot, the dragon med helm is one of the more powerful non-degradable helmets in the game. Many players, however, favour other helmets that provide a strength, or attack bonus, or penalise ranged and magic bonuses less. Also, the dragon med helm is often considered less prestigious than other helmets due to its lack of any quest requirements. However, it is still a very practical item.
Monster Combat level Quantity Rarity Revenant imp 7 1 Revenant goblin 15 1 Revenant pyrefiend 52 1 Revenant hobgoblin 60 1 Revenant cyclops 82 1 Revenant hellhound 90 1 Revenant demon 98 1 Revenant ork 105 1 Revenant dark beast 120 1 Revenant knight 126 1 Revenant dragon 135 1 Brutal blue dragon 271 1 Brutal red dragon 289 1 Brutal black dragon 318 1 Grotesque Guardians 228; 328 1 Rune dragon 380 1 Zulrah 725 1 Rare drop table Varies 1 King Black Dragon 276 1