Hello
Just Updating this item origin.
Reward for comopleting Garu Anehm Quest In Shrin of Bretox area of Qeynos Sewers.
Completed as a Shadow Knight with Amiable faction to Blood Sabers
Turn in at level 2 and Reieved 20 percent of a level XP reward plus the Rat Foot Necklace.
Garuc Anehm Says "Fine work! One less Threat to our shrine. Take this. It shall help you become a greater set to our shrine. Go forth and Spread the disease."
Your faction Standing with Bloodsabers has been adjust +10
Your faction Standing with Guards of Qeynos has been adjust -1
" Opal Dark Brair +1
Priest of Life -2
Corrupt Qeynos Guards +1
your gain experience.
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Hope this helps