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Ilium and similar can refer to:
- Ilion (Ἴλιον) or, Latinized, Ilium, another name for the legendary city of Troy, hence the title of Homer's Iliad
- Ilium (Epirus), an ancient city in Epirus
- Ilium (Kurt Vonnegut), a fictional New York town in many of Kurt Vonnegut's novels
- Illium, a fictional location in Mass Effect 2
- Ileum (band), a grunge rock band from The Netherlands
- Ilium (band), a melodic power metal band from Newcastle, Australia
- Ilium (novel), a 2003 novel by Dan Simmons
- Ilium 349, a fictional element featured in DC Comics
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