The monkey paw is an item on the Odd Old Man's list during the Rag and Bone Man quest. It is dropped by monkeys. After the quest is completed you can no longer obtain this as a drop. The bone must be put into a pot of vinegar and boiled to create a polished monkey paw before giving it to the Odd Old Man.
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- For an exhaustive list of all known sources for this item, see here.
- It is a possible reference to the short story "The Monkey's Paw" by author W. W. Jacobs.