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Searching for the Sedefkar Simulacrum, an item of great power hunted for by Christians and Turkish Cultists alike, the Investigators find themselves in Trieste, 1923. It became clear to the group that another piece of the Simulacrum was in Trieste, and they contacted a local cult, the Lloigor. The leader of this cult, an ancient abomination known as Ithaqua, told them that the Investigators would have to kill the Turkish Cultists in their territory, in exchange for the Simulacrum. Upon breaking into a medical facility, the Party were ambushed by the Turks, and barely survived, taking shelter in a Church with Father Josiah. Father Josiah captured Evelyn and flayed her, revealing himself to be working for Makryat and the Turks. Pat saved her, and the Party went to a Midnight tour at the Lloigor Caverns. With the help of the Lloigor Cultists, they defeated a band of Turks hunting them through the darkness.
The Investigators rushed to the Western Caverns to find the medallion as more Turks assaulted the caverns, while the Lloigor held them back. Evelyn dived into one of the pools of madness to retrieve the medallion as the caves crashed in around their heads. At the last minute, they made the trade with Ithaqua for the medallion and escaped the caverns. After a blood curdling conversation with the apparition, Comte Fenalik, they returned to Berto’s train to find Hans, the reporter, dead by Fenalik’s hand. The Investigators swiftly made their way towards the next town of Belgrade, and learned that another piece of the Simulacrum existed within the National Burea of Artifacts.