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I'm not all to certain about this, but I think you get it from doing all the 'extra fights' in the arena in Orzammar. It's a blood-mage related item, that much I remember. Off in one of the quarters to the sides of the Proving Grounds there's a Proving Ground quartermaster - I think - where you get asked about some extra, on-the-side, arena fighting. Five or so fights, bring your team.

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