Note that manually scattering ashes will not restore prayer points when using the necklace, nor will ghosts killed in conjunction with the ectoplasmator. Only ghosts killed or ashes scattered automatically by the attuned ectoplasmator will trigger the effects of the necklace.
Combined with the bonecrusher or the Attuned ectoplasmator in locations where aggressive monsters with low life points that frequently drop bones or are undead, the item will restore prayer points by automatically burying bones or scattering ashes. This item is the better version of the twisted bird skull necklace and the lesser version of the demon horn necklace. Using this necklace in combination with the bonecrusher or attuned ectoplasmator, it is possible to greatly extend trips to monsters which drop big bones (such as dark beasts) or ashes, especially when used in combination with the soul split curse.