Orange Peril Ring
Dark Tomb for the trinket, blind
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The guide above, in a nutshell: use visual cues and patterns to dodge the spikes in the hallway. Activate the two skulls. Run to the right side of the center platform and up the stairs. Once the block has connected, run south and roll past the chest to make it partially visible.
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As soon as you obtain the Orange Peril Ring (also known as RTSR): Quit and Continue.