The Pumpkin Moon Medallion is used to summon the Pumpkin Moon event. It can only be used at night. Attempting to use it during the day will not begin the event, and the Medallion item will not be consumed from your inventory. The Pumpkin Moon event will end at dawn (4:30 am) if not completed by then.
- The Pumpkin Moon is a challenging endgame event with many difficult enemies and bosses. Your chances of completing it, or of killing enough enemies to collect rare drops, are better if you use the Medallion the moment night arrives, to give yourself maximum time before dawn arrives and the event cuts off. (Use at 7:30 pm and you have 9 minutes to finish it.)