Not What It Appears is a Tome of Knowledge Bestiary entry for Ogre, Tyrant.

Instructions: Order & Destruction

Kill "Graw Leadgut", Lv 29 Hero Ogre Tyrant, in The Badlands in the south part of "Bloodmaw Cave" (59.7k 27k), for the unlock.
A Pocket Item "Tarnished Medal" will drop from his body. Equip it for the associated title.

Rewards