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Defeat the Ahn'kahet: The Old Kingdom bosses on Heroic Difficulty.

Obtain 450 skill points in first aid.

Complete the Northrend Heroic dungeon achievements listed below.

Defeat the Caverns of Time: Stratholme bosses on Heroic Difficulty.

Defeat the Infinite Corruptor in The Culling of Stratholme on Heroic Difficulty.

Defeat the Utgarde Keep bosses on Heroic Difficulty.

Gain Exalted reputation with the Horde Expedition.

Defeat the Gundrak bosses on Heroic Difficulty.

Defeat Slad'ran in Gundrak on Heroic Difficulty without getting snake wrapped.

Defeat the Azjol-Nerub bosses on Heroic Difficulty.

Defeat Cyanigosa in The Violet Hold on Heroic Difficulty.

Loot 50 Stone Keeper's Shards.

Defeat the bosses in Caverns of Time: Stratholme.

Defeat the boss encounters in Halls of Stone.

Defeat the bosses in Drak'Tharon Keep.