Gameplay in Telos Realms largely relies on the use of items to increase stats.
By fighting enemies and bosses, players receive loot from pouches or chests that drop from enemies.
There are currently 10 tiers of tiered loot, 6 types of untiered loot, and 3 types of reskins in Telos Realms.
Bags display as enchanted if they contain a Forge Fragment.
| Bag | Loot Tier | Chest | Untiered Type | Bag | Reskin Type |
| Tier 2 Loot | Irradiated UTs | Halloween Reskins | |||
| Tier 3 Loot | Gilded UTs | Christmas Reskins | |||
| Tier 4 Loot | Royal UTs | Valentines Day Reskins | |||
| Tier 5 Loot | Bloodshot UTs | ||||
| Tier 6 Loot | Voidbound UTs | ||||
| Tier 7 Loot | Unholy UTs | ||||
| Tier 8 Loot | |||||
| Tier 9 Loot | |||||
| Tier 10 Loot | |||||
| Tier 11 Loot | |||||
| Runes | |||||
| Companions |