Transmute a normal quality unsocketed helm, a Ral rune, a Thul rune, and a perfect sapphire to add a random number of sockets to the helm.

Transmute a normal quality unsocketed weapon, a Ral rune, an Amn rune, and a perfect amethyst to add a random number of sockets to the weapon.

Transmute magic gauntlets or exceptional/elite version (war gauntlets or ogre gauntlets), a jewel, a Ral rune, and a perfect emerald to create crafted Safety gloves.

Transmute a magic amulet, a jewel, a Ral rune, and a perfect amethyst to create a crafted Caster amulet.

Transmute a magic helm or exceptional/elite version (casque or armet), a jewel, a Ral rune, and a perfect ruby to create a crafted Blood helm.

Transmute magic chain boots or exceptional/elite version (mesh boots or boneweave boots), a jewel, a Ral rune, and a perfect sapphire to create crafted Hit Power boots.

Transmute three Ral runes to create one Ort rune.

Ral runes are used in eleven Horadric Cube recipes.

King's Grace 'AmnRalThul' sword or scepter.

Insight 'RalTirTalSol' polearm, staff or missile weapon.

Ancient's Pledge 'RalOrtTal' off-hand armor.

Diablo II: Resurrected Review - Pile Of Old Bones

Diablo 2 helm rune recipes