Punctured Voodoo Doll

Source
Scattered throughout (fixed) locations in Zul'Gurub are Jinxed Hoodoo Piles, each Voodoo pile has a chance of dropping a Voodoo Doll, a Blood Scythe, or nothing. It is very common for the looter of the Voodoo Pile to become hexed by Hakkar and forced to do his bidding for a short amount of time.

Uses
Combining Gri'lek's Blood, Renataki's Tooth, Wushoolay's Mane, Hazza'rah's Dream Thread, and this item forms a class specific Zul'Gurub Trinket.

As a quest objective
This item and a Primal Hakkari Idol is the objective in the following quests that provide a Head/Leg enchant: Note: You do NOT need any of the 4 quest items (Gri'lek's Blood, Renataki's Tooth, Wushoolay's Mane, Hazza'rah's Dream Thread) for the head enchant quest as you are turning in Punctured Voodoo Doll to Zanza the Restless rather than using it.
 * Animist's Caress (quest)
 * Death's Embrace (quest)
 * Falcon's Call (quest)
 * Hoodoo Hex (quest)
 * Presence of Might (quest)
 * Presence of Sight (quest)
 * Prophetic Aura (quest)
 * Syncretist's Sigil (quest)
 * Vodouisant's Vigilant Embrace (quest)