In Path of Exile 2, the world of Wraeclast is more brutal and immersive than ever before, bringing new layers of depth to both storytelling and gameplay mechanics. Among the many additions introduced is a compelling side quest known as “Tribal Medicine”, tied deeply into the local cultures of the game’s lush coastal areas. A key component of this quest is finding the elusive Shark Fin, an item that has left many players confused due to misleading markers and tricky map layouts.
TL;DR: The “Tribal Medicine” quest in Path of Exile 2 requires you to retrieve a Shark Fin from a specific location in the Coast area. Quest markers may mislead you, so knowing where to look and which enemies to defeat is essential. The fin usually drops from the Khalo tribesmen near the shoreline, not from random monsters. Once obtained, the fin must be returned to the quest giver to complete the objective, granting you experience and potential item rewards.
Understanding the “Tribal Medicine” Quest
The “Tribal Medicine” quest is one of the early side objectives in PoE 2, available as you begin exploring the first act. It interweaves themes of tradition, survival, and the beliefs of the Khalo tribespeople in the area. The main goal is to retrieve a specially prepared Shark Fin used in a restorative tribal concoction. This isn’t simply any shark fin from any sea-beast you slay—the item is tied to a scripted encounter in a semi-randomized area.
Properly completing this quest involves several steps, including exact positioning, awareness of game design cues, and understanding loot mechanics.
Where the Shark Fin Spawns
Unlike typical item drops in Path of Exile, the Shark Fin needed for “Tribal Medicine” will not drop from the general pool of mobs. Instead, it is a quest-specific item tied to an elite Khalo warrior or a distinct mob cluster. This group only spawns in a small portion of the Coast zone, usually along beaches or near bone circles where tribal rituals occur.
Here’s what you need to focus on:
- Enter the Coast zone during daylight for better visibility.
- Follow the shoreline, not deeper inland where jungle creatures dominate.
- Look for groups of 5–6 Khalo melee-type enemies, especially near ceremonial-looking setups.
- One should be larger, more aggressive, and may have a special red aura—this is usually the one carrying the Shark Fin.
Once defeated, the correct Shark Fin will be dropped as a quest item. If it doesn’t, continue searching nearby shoreline areas before resetting the instance if necessary.
Quest Marker Confusion Explained
Many players report difficulty completing this quest due to misleading quest markers. The map ping might lead you to another point of interest nearby, like a cave or a different quest node, but will not actively track the Shark Fin’s source enemy.
To avoid falling for this trap:
- Zoom out your map and use terrain indicators (like the ocean edge) rather than following the yellow marker strictly.
- Observe audio and enemy design cues. The Khalo tribesmen utter different chants and wear distinctive bone armors.
- Do not stray into jungle or cliffside paths—the correct encounter is almost always within 20 meters of the main waterline.
Additionally, many players assume the fin drops from sea monsters, such as crabs or fish-like enemies. This is not the case. Only human enemies—more specifically those from the Khalo tribe—carry the Shark Fin required for the quest.
Returning the Fin and Completing the Quest
Once you obtain the fin, returning it is straightforward. Head back to the quest-giving NPC—typically an elder or healer figure in the nearby settlement. Interacting with them completes the quest and often provides the following rewards:
- Experience boost tailored to your current level bracket.
- Basic crafting materials like Orbs of Transmutation or Blacksmith Whetstones.
- Sometimes a selectable gear reward based on your class type.
Completing “Tribal Medicine” also opens new dialogue options with the NPC, giving you further narrative insight into the Khalo traditions and their harsh methods of survival.
Image not found in postmeta
Tips for Efficient Completion
To help you get through this quest without unnecessary detours or missed opportunities, consider the tips below:
- Use tactical flares or light sources if you play a class with limited vision range or if you navigate during low-light phases.
- Group up with friends or use public parties. Multiple eyes on the terrain help spot the elite Khalo faster.
- Reset the area via waypoint or character logout if you don’t find the elite within 5 minutes of shoreline exploration.
- Check game forums or POE2 map trackers to see if the current day’s instance has bug reports or altered spawn points.
Is the Quest Optional?
Yes, but it’s highly recommended. Although not mandatory for storyline progression, the “Tribal Medicine” side quest acts as a tutorialized example of PoE 2’s new direction in quest design. It teaches players to pay close attention to environmental details and ignore misleading UI indicators when necessary. The practical items and early XP gain also provide a tangible benefit during a challenging part of the Act.
Developer Intent and Lore Significance
According to interviews from Grinding Gear Games, this mission was designed to reflect the “collision of survivalism and mysticism” central to the tribes in this new region. The Shark Fin has spiritual symbolism to the Khalo—representing inner strength and resilience. Players who complete the quest gain a tiny but poignant insight into the cultures populating Wraeclast’s outer reaches.
This reflects a trend across Path of Exile 2: fewer fetch quests, and more emotionally or thematically driven content—even in small optional missions.
Common Mistakes to Avoid
Here are a few common pitfalls that you should avoid while undertaking “Tribal Medicine”:
- Killing ocean creatures thinking they drop the item. Only humanoid Kholo elites do.
- Trusting the default quest marker completely. It’s loosely associated with the region, not the specific fin’s location.
- Leaving the area too early. Exploration is key. Many players give up without discovering the main tribal camp.
- Overlooking audio cues. The Khalo enemies shout unique phrases when you’re near, signaling that the fin-bearer may be close.
Conclusion
The “Tribal Medicine” quest is a subtle but powerful example of how Path of Exile 2 improves its storytelling, mechanics, and world-building. Although it may frustrate players unfamiliar with its misleading quest tags and non-traditional item drop system, it ultimately offers a rewarding, lore-rich experience when completed carefully.
Whether you’re a veteran exile or a newcomer to the realms of Wraeclast, taking the time to understand and complete this type of quest will deepen your immersion and provide an edge through valuable early-game resources.

