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This answer assumes the reader has not seen the cutscene in World of Warcraft: Wrath of the Lich King for the Battle of Angrathar the Wrathgate.

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Grand Apothecary Putress leads a splinter group of Forsaken and the Royal Apothecary Society to dump a New Plague on the combatants of the Battle of Angrathar the Wrathgate. Although Sylvanus has been implicated in the creation of the New Plague, its use was not authorized by her, but only forced to occur after a coup d'etat by Putress and the dreadlord Varimathras.

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