Cosmetic Items customize visual elements within Dota 2. These modifications are purely graphical and do not affect mechanics or gameplay. Some items are exclusive to the Dota Plus premium service. Items released before Dota Plus are called legacy items.
All cosmetic items have a Quality. Some qualities, such as Heroic or Genuine are related to the circumstances by which the item was acquired, while others, such as Inscribed, allows the item to track certain statistics. Qualities are related to, and can be altered by, Gems. Most items are Normal quality by default.