OK. I'll bite...
Cameo of Calamitous Cacophony
These jewelled cameos depict a regal countenance marred by a scream of absolute terror. The diamond eyes are wide and the ruby studs of its teeth are spread in a grimace of horror. Once per day, as a standard action, the wearer of the cameo can activate the scream power of the cameo. Hideous cries of pain and horror fill the air around the wearer in a 20-foot radius. This acts in all respects as the Scare spell except that the diluted cacophony can be heard as far away as 180 feet, depending on impediments. Use the Audible Alarm section of the Alarm spell in order to determine how far the noise travels. In addition to this power, if the wearer of the cameo is ever within the bounds of a Detect Thoughts spell, the caster of the spell must make a DC 13 Will save or be dazed for 1 round and have the spell disrupted, as his head is filled with screams. The Scare power of the cameo does not function in areas of magical Silence.
Faint Necromancy & Enchantment, Caster Level: 5th, Craft Wondrous Item, Daze, Alarm, Scare; Price 10, 750 gps, Weight -