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Kyle Katan gave this music box to his wife as an engagement gift, long before either of them entered the world of Kadesh.

After the death of his wife, the box was mistakenly sold to a pawn shop with other of her personal effects. It was bought by a man who worked at a clinic named Gerald Howzer.

Howzer eventually became a lobotomite due to the clinic running out of people to experiment on. They decided the disappearance of their own employees would be easy to cover up so they began using them.

Freed by the party, they brought him with them to their encounter with Katan. There Gerald played the box, and caught Katan's attention. This allowed the party to overcome him and get the comb.

MusicBox

The music that the box played.