This is crafted by using the mystic forge
5x Glob of Coagulated Mists Essence
1 mystic coin
1 glob of ectoplasm
1 fractal relic
all these ascended crafting materials are used in large quantity's to craft a gift of Ascension
gift of Ascension + exotic fractal exotic of your choice + 2 other unknown gifts crafts an equipable Ascended Item.