"Medallions representing your triumphs. These can be bartered at Skirmish camps of at class trainers."
This item is also a random drop from the:
Blue Box of Wold Spoils
Decorative Gift Box
Embossed Gift Box
Elegant Gift Box
Extravagant Gift Box
Lavish Gift Box.
Red Box of Wold Spoils
Steel-bound Lootboxs.
Westfold Gift Box
This item is also a reward from these deeds:
Excavator of the Forsaken Caverns
Fornost -- Wraith of Shadow
Fornost -- Wraith of Water
Mighty Umin
Riddles Beneath the Inn
The Journal of Captain Rabghul
The Necklace's Keeper
The Perfect Fellowship
You can win this item from the Lottery: Lottery of the Depths and/or Lottery of Angrenost and/or Lottery of Rhovanion and/or Lottery of the Northlands of which you can enter at http://my.lotro.com/home/lottery.