I see that people trade Perfect Gems (40).
Does that include perfect Skulls as well?
Normally no. Usually Topazes, Emeralds and Diamonds.
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Pgems are mainly used to reroll blue items such as grand charms and this includes Perfect skulls, so yes!
But I have to say that perfect amethyst (for crafted caster amulets), perfect ruby (blood items) and Perfect Skulls (reroll rare items) are most valuable than other perfect gems!
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Arktz speaks the truth 
You are better off saving your pskulls, pammys, and prubies to sell separately.
Jeger
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So I shouldn’t have listened Onadroig2137 and went and sold all of my Perfect Skulls.
Because I know that skulls can also be used to re-roll Grand charms.
What Onadroig was mentioning was that people sort through their pgems to sell bulk diamond/topaz/emerald/sapphire at 40/Ist. Rubies and Skulls go for about 40/2 Ist, and Amethysts go for 40/3 Ist. I might be slightly off with my pricing but a multiplier of 2 and 3 should be roughly accurate. The Rubies are used primarily for crafting blood gloves, the skulls for rerolling rare diadems, and the amethysts for crafting caster amulets. Hope this information helps.
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It helps a lot better, since your answer is very descriptive, instead of an one-word “No” that i initially received as an answer.
Trading is a soft science, so people give advice based on what they know.
In the past, I have seen pskulls and prubies = 1.5 pgems, and pammys = 2 pgems. jms thinks the currrent factors are 2 and 3. He might be right. It will be interesting to watch. 