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The Amalgamation of Sin rare can only be spawned by obtaining the corresponding item from the Summon Your Sins world quest in Revendreth.
Complete the world quest as normal and if the NPC gives you the Amalgamation of Sin item, you can spawn the rare! I failed to mention in the video that you won’t always get the blue version of the item, sometimes you may get the white version; this will not summon the rare.
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amalgamation of sin sounds like it could be a metal album haha
Literally the most wholesome WoW content creator out there