- Equalizes base Muscle to base Mysticality.
- Starting at level 5, it adds +(2*L) Bonus Weapon Damage, where L is the level of the Elbow Macaroni.
- At level 10, it gives you +10% chance of a Critical Hit.
The Elbow Macaroni has no combat messages.
Elbow Macaroni names follow a specific pattern - they begin with a word containing a double consonant and ending with "er", and they end with a word beginning with an "h". Some examples are "Flitterhedge", "Riggerhole", "Betterhover", "Gutterheat", "Jibberhatch", "Dinnerhelix", "Nutterhumor", "Wrapperhats", and "Stutterheave".
- The Elbow Macaroni was significantly changed in the 2013 Pastamancer Revamp. It used to be a Pasta Guardian. The old wiki page is archived at Undead elbow macaroni (summon).