From Project Lazarus Wiki

On Project Lazarus the vast majority of items on the server are tradeable. Items above a certain HP threshhold are attuneable(Made no drop once equipped) Epics and select other items are No drop. Despite this you can do the majority of the Epic before the final turn in as the turn ins leading up to the Final turn in are usually droppable.

Items from the Kunark, Velious and Classic Eras will drop randomly from enemies as you level and can be helpful for newer players to the server.

Some items on this server have had their stats boosted such as Fabled items to make them more in line with the challenge presented by the mobs that drop them.