The item ID for Otherworldly Music Box (The Towers) is 5035
If there is no item ID, please use the item name to spawn.
This is the spawn command to give yourself Otherworldly Music Box (The Towers) in Terraria. Terraria does not have a vanilla item spawn command and varies between singleplayer and multiplayer. For singleplayer you can use the inventory editor. For mutiplayer you can use a plugin or mod like TShock.
Example spawn commands that will work with TShock:
Copy the command below and paste it into your Terraria game or server admin console to obtain.