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.
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.
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:
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.
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:
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.
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:
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.
To help you get through this quest without unnecessary detours or missed opportunities, consider the tips below:
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.
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.
Here are a few common pitfalls that you should avoid while undertaking “Tribal Medicine”:
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.