Qiraji Spiked Hilt

Qiraji Spiked Hilt is a Cenarion Circle armor token. It can be exchanged along with various idols and scarabs at various NPCs at Cenarion Hold for the following items:

Source
This item drops from Buru the Gorger, Ayamiss the Hunter, Moam, and Ossirian the Unscarred in the Ruins of Ahn'Qiraj.