Although the origins of lost wax casting extend back into the 5th millennium BCE, it was not until the development of hollow core casting that life-sized metal sculptures could be produced. Based on existing evidence, the earliest adoption of this technique, which involves the inclusion of a clay core within a wax model, occurred in Iraq (Mesopotamia) during the Early Dynastic III period (ca. 2600–2350 BCE). To date, only one hollow core casting from the succeeding Akkadian period (ca. 2350–2150 BCE)—the Sargon Head in the collection of the Iraq Museum—has been studied from a technical point of view. The recent attribution of The Metropolitan Museum of Art's Head of a ruler to this formative period of hollow core lost wax casting provided the impetus for its examination by high-energy X-ray computed tomography—the most practical technique for an object that is continuously on display that could image in 3D the interior morphology of this sculpture given the considerable thickness of its metal walls. This scan revealed a markedly different style of production than the Sargon Head. Although further research on early castings is required to determine the chronological implications of the differences observed and to elucidate more generally the early development of hollow casting technology, the scan of the Head of a ruler provides evidence of some of the challenges encountered and problem-solving strategies used in the casting process.