I’ve wanted this vanity item for a while now and finally took the druid down to collect it.
Hmm Chief Rikkitun, you’re a little creepy back there.
To get this item, you need to head to just off the coast of Dread Wastes and swim down until you find a gigantic clam. When you get close to it you’ll get an underwater breathing buff so you won’t drown.
Attacking the clam spawns waves of adds that you defeat in order and once you defeat the final wave the quest Promises of Gold pops up.
You go back to Chief Rikkitun and as the quest reward you get the vanity item. Using it makes your toon appear in their underwear and blush about it.