Quote Originally Posted by Dipstik View Post
Artwork is reused all the time. This is the only item I know of with the same name and art but apparently (hopefully) no bonus on one.
It does not have the same name.

Diamond Fists - Top 50 item from first ever leaderboard event - modifier for +% mafia attack (iirc)
Diamond Basher - Crate item, could also be earned from a recent ltq - no modifier
El Dorado Knuckles - boss grand prize - no modifier

The only items I can recall having similar names are "cobra roadster" and "the cobra roadster", and the images used were quite different. Other than that one item, I'm pretty sure item names do not get reused.