The way to get D2R Ladder Items is not complicated, you need to go through all the things you do in non-ladder mode again. Simply put, kill as many monsters and bosses as you can, then expect to find D2R Ladder Items in the loot that will work for you. With better gear, you'll be able to challenge higher-level areas. By defeating monsters and bosses on high-level maps, you have a greater chance of finding rare items, including unique and set items. This process can be lengthy for novice players and does not help you level up quickly. If you want to save time, buying some powerful D2R Ladder Items early in the game to help you jump through that stage quickly is a very effective method.