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While I haven't tried it, I would suspect you can simply swap file names. Of course I don't know the inner workings of the game on top of knowing only a little about game development, but ultimately in the code there is some sort of association between an item and a model and/or texture to represent the item. If you take the model and texture from item A and rename it as an item B, I would suspect you see item B will use the same model and texture as item A.

Three Things about this:

1. This should be possible considering we can alter textures and models and inject them back into the game. See the first post here Black Desert Online Resorepless Nude Mod.
2. I haven't tried this so it may not work.
3. I could be misunderstanding how game development handles this stuff, and thus this may not work.