Murky Pat is a pirate aboard the Lady Zay and the brother of Murky Matt.[1]
When questioned about the feast he attended on Lunar Isle during the quest Lunar Diplomacy, he claims to have a very rare medical condition that causes him to silent and immobile when he becomes drunk until he sobers up,[2] and as a result is listed in "medical books".[3]
After you complete the quest Lunar Diplomacy, Matt will talk about Pat and his mention of the player[4] when asked what a pirate is doing in the Grand Exchange.
Murky Pat also acts as a distraction in the Livid Farm, where he may occasionally teleport in and ask players to cast Vengeance Other on him, based on a specific target.
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