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The dagger appears to be made from a sharpened piece of metal crudely attached to part of a human jaw bone, held together with a length of thread.
- One can be found inside the Lucky Hole mine.
- One can be found in the sunken church southeast of Raleigh Clay's bunker.
- One is located on the cult altar south of Hornwright testing site 2.
- The dagger cannot be modified.
- Modified variants can be found rarely.
- Modified variants can be found in a Government aid drop.
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