The Ointment of imbalance is an item used in the quest Druidic Ritual. It is created by Sanfew by mixing Living water, Stone scales and Wandering wyrmwood. Players are about to get those three items in the quest. It is then used by Kaqemeex during a ritual in the stone circle to call Guthix's attention to Burthorpe's troll problem by presenting imbalance.

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