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This item can be obtained via the following means:
- Jewelcrafters of level 450 may prospect for a chance to get a Cardinal Ruby.
- Alchemists of level 450 may Transmute to obtain Cardinal Rubies - Transmute: Cardinal Ruby. Recipe is a reward from the quest N  .
- Jewelcrafters of level 425 may also create , which has a chance of yielding an epic gem.
- Purchased with 165 Honor point Honor points from:
- Purchased with 20 from:
As an ingredient Edit
- - 20 Strength
- - 40 Attack Power
- - 20 Agility
- - 20 Parry Rating
- - 20 Armor Penetration Rating
- - 20 Expertise Rating
- - 23 Spell Power
- - 20 Dodge Rating