Path of Exile 2 is full of side quests that can leave players scratching their heads, and one of the more cryptic examples is Tribal Medicine, triggered by looting the Shark Fin. This quest shows up during Chapter 4 and doesn't give you much direction beyond the vague line: "Find a use for the Shark Fin."

If you've defeated the Great White One and have no idea what to do with the fin it drops, you're not alone. Many players miss where to take this item, since it isn't directly tied to the main campaign. This guide will walk you through how to complete Tribal Medicine, where to turn in the Shark Fin, and the rewards you'll earn for doing so.

How to Get the Shark Fin in Path of Exile 2

The Shark Fin drops from an optional boss called The Great White One, which you'll find on Whakapanu Island in Chapter 4.

·Finding the boss: Head to the Shark Pit section of the map. At first, it doesn't look like much is there, but if you walk into the watery area, you'll eventually see a massive shark swim by. That's your cue that the boss encounter is about to begin.

·Defeating the Great White One: This fight can be tough, especially if your resistances aren't capped or if you're under-leveled. The shark deals heavy physical and cold damage, so make sure to prepare with appropriate flasks and defensive skills.

·Looting the Shark Fin: Once you defeat the boss, the Shark Fin will automatically drop as a quest item, starting the Tribal Medicine side quest.

At this point, your quest log will simply say: "Find a use for the Shark Fin." No markers, no hints-just a vague objective.

Where to Take the Shark Fin (Tribal Medicine Quest Location)

With the Shark Fin in your inventory, you'll need to travel to Ngakanu Island, which is directly south of Kingsmarch on the world map.

Here's the step-by-step path:

1. Finish Whakapanu Island first - While optional, it's a good idea to wrap up your objectives there, especially since you'll eventually need to defeat Diamora, Song of the Deep, to collect a Weapon Piece for the main quest.

2. Return to Kingsmarch - Head back to Kingsmarch and use the ship to sail to Ngakanu Island.

3. Enter Ngakanu Village - When you arrive, you'll notice that the village is peaceful-no enemies or ambushes here.

4. Find Kaimana - Look for Kaimana, who will have a quest marker above her head. She's the one you need to speak to.

After a short dialogue exchange, you'll hand over the Shark Fin. Kaimana explains that she'll use it in tribal medicine, closing out the quest.

Shark Fin Quest Rewards in Path of Exile 2

Instead of receiving a potion or crafting item, you're rewarded with a choice between three valuable progression Path of Exile 2 Items:

·Uncut Level 11 Skill Gem

·Uncut Level 11 Spirit Gem

·Uncut Level 4 Support Gem

Which one you should pick depends entirely on your build and needs:

·Choose the Skill Gem if you're still experimenting with your main abilities or want to expand your offensive toolkit.

·Choose the Spirit Gem if your class or build is particularly Spirit-hungry, or if you're preparing to unlock a new Spirit-based ability.

·Choose the Support Gem if you're satisfied with your current skill setup and want to strengthen it with utility or scaling power.

For example, many players opt for the Level 4 Support Gem, since support gems can dramatically increase damage scaling, survivability, or utility depending on the combination. On the other hand, if you're still collecting active gems, the Skill Gem is a safe pick.

Is the Shark Fin Quest Worth Doing?

Absolutely. While the Great White One fight is optional, the Shark Fin quest rewards are too good to pass up. High-level gems-especially uncut ones-can significantly improve your build flexibility. For players who don't want to grind or wait for lucky drops, being able to buy POE2 Currency and trade for the right gems is another great option.

The quest itself doesn't take long to complete once you know where to go, making it a high-value side activity during Chapter 4.

Tips Before Attempting the Great White One

If you're preparing to fight the shark boss to obtain the Shark Fin, here are some quick pointers:

·Cold Resistance is key - The Great White One deals cold-heavy attacks that can freeze you in place. Having capped cold resistances makes the fight much smoother.

·Bring movement skills - Blink, Dash, or Flame Dash can help you escape its lunging attacks.

·Don't stand in water for too long - The boss has increased mobility in water zones, making positioning important.

Recovery plan - Flasks that restore Life and remove freeze/chill are lifesavers here.

With these preparations, the fight becomes much more manageable, even for builds that are still coming together.

Final Thoughts on Tribal Medicine and the Shark Fin

The Tribal Medicine quest is one of those side stories in Path of Exile 2 that rewards exploration and curiosity. Defeating the Great White One nets you the Shark Fin, but it's not immediately obvious where to use it. By taking the fin to Ngakanu Island and giving it to Kaimana, you'll complete the quest and claim a powerful gem reward of your choice.

While optional, this side quest is well worth the time. Not only do you get an extra chance at valuable gems, but it also adds flavor to the worldbuilding, showing how tribal communities make use of rare items like shark fins for medicine.

If you're working through Chapter 4, don't skip this quest-it's a quick detour that pays off both narratively and mechanically.