Obtain by combining the following items in the Mystic Forge: Essence of Determination, 20 Vials of Powerful Blood, 50 Vials of Potent Blood, and 250 Piles of Bloodstone Dust.
Obtain by combining the following items in the Mystic Forge: Essence of Determination, 20 Vials of Powerful Blood, 50 Vials of Potent Blood, and 250 Piles of Bloodstone Dust. · Guild Wars 2 Database