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A Hardy gout tuber is obtained during the My Arm's Big Adventure quest from Murcaily. They can not be dug up or planted in a herb patch. One is given to the player after reaching 60% favour in Tai Bwo Wannai Cleanup, but then Murcaily gives the player a handful of hardy gout tubers after My Arm goes on a rampage.
They have no real use, except to be given to My Arm at the near-end of the quest, before the final fight with Giant Roc and Baby Roc.