Step 4: Continue committing genocide until enough charms have dropped. Step 3: Brutally murder any and all monsters that meet these criteria. Any other monster that drops a Vita charm will have less life (36-40 as opposed to 41-45). Since the only monster above level 91 is Hell Baal, getting this suffix means any charms he drops are level 91, and have a chance of the higher Vita suffix. One of the suffix`s is Vita, with an item level of 77 or 91. So any item level of 85 or higher can only be found in the Worldstone Keep (Hell) and onwards. As shown, max area level is 85, And even Hell Baal is only level 99. For the higher level charms, bosses may be the only option.
Step 2: Find an area that has monsters that are at least the item's level. Your character's level must be at minimum 75% of this. If you are looking for both a prefix AND a suffix, take the highest item level. This will give you the item level requirements for your specific charm. Step 1: If you know what sort of charms you are looking for, you can use the charm affix list.