To spawn him, first obtain Partially Digested Hand, which is obtained by clicking on the chest near the shipwreck at ( -262, -50, 1321 ) /waypoint -262, -50, 1321. Then click on the pile of bones in the firepit at ( -152, -22, 1174 ) /waypoint -152, -22, 1174 and choose the option "place the skeletal hand in the flames"
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