Leaf Skooma is a subtype of the narcotic, Skooma. Leaf Skooma is the lowest quality and cheapest form of Skooma. It is smoked through a pipe, tastes bitter and greatly shortens the lifespan of the consumer. There is no Leaf Skooma in Skyrim, although it is mentioned. Skooma addicts often turn to Leaf Skooma when they run out of gold.