I spent roughly 45 hours in South Karana, including waiting for the camp to open/splitting the camp when we needed different Grimrots. Got Quillmane while waiting for the camp to open up and a bunch of Rings of Shadow, so that is a side benefit.
Did it at mid-40s with meh gear before Kunark came out. Stun, Root, Nuke repeat.
I've long since replaced it with a Hiero Cloak, but it was 2nd best in slot pre-kunark.
If you go through with the quest, verify that the quest giver will go through the whole dialogue with you before turning your pieces.
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