AQ20 loot-quests require tokens which drop from bosses, combined with a certain level of faction with the Cenarion Circle. (Zul'Gurub uses a similar system). Players must collect ten scarab items of two types, two idols of a certain type, and a single Qiraji item. When a player has the appropriate collection for a particular item and a certain level of reputation with Cenarion Circle, they can turn them in for the item at Cenarion Hold.
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