Play a different character. Que the RNG cult 3,2,1. I am convinced the seed is somehow generated from your class, maybe some other things, but it is character specific. I believe if you keep running circles with the same toon the items that drop rarely will rarely/never drop. It will get denied, ill be called a conspiracy theorist, but in every case where a piece of a set would not drop on one character, and where certain items rolled over and over, changing the character changed the items that rolled over and over and I got the item that would never drop. Ran for hours and hours through level 35 content looking for miasma hood…started a new toon and got it on first run. Could be coincidence, but it is not a matter of sample size. I have had approaching hundreds of identical level 35ish epics drop at the exclusion of others on some characters, only to get it frequently on another character. RNG is not random, it is Pseudorandom, it is a deterministic approximation of randomness. It is very possible to get repeated, deterministic outcomes, excluding some possibilities, if not used with care. Its not the sample size or in your head, its the small event pool size and something to do with the seed , that causes repetitive drops.
And this is why i play 5 characters. Mid level epics, I have most of them, only after a few hundred hours of getting identical ones. Epic wands still seem to be a unicorn though, while Nightblade gear in general drops copiously on most characters, but that might be because half of the gear is for nightblade.