It is obtained by killing at least 5 of the Barrows brothers and searching the chest, once the player has reached that part in the quest. If the player has already started killing the Barrows brothers before the quest start, they can continue where they left off to get the icon.
The icon is able to store the power of prayer, and has become extremely powerful while at the Barrows area. Its increase in power is due to the large number of adventurers who have died while fighting in the Barrows, and whose dying prayers have been captured by the icon. Azzanadra confirms this later in the quest, mentioning that it was far more powerful than he had expected due to it.
Despite common belief, the prayer drain at Barrows does not cease after the icon is retrieved, as it was not causing it, but simply absorbing the prayer's power.
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- The Barrows icon slightly resembles the stereotypical version of a Hotei statuette, as it resembles a short, obese man sitting cross-legged while hands clasped together in a praying stance.