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The Peculiar Doll is used to enter the Painted World of Ariamis. To enter the Painted World, players just need to have the Peculiar Doll in their inventory and examine the large painting in the cathedral in Anor Londo.
The Peculiar doll is lost at the end of every playthrough, and must be retrieved again in order to access the Painted World in NG+.
- Presumably, the "abomination" in the description is Crossbreed Priscilla.