In Ultima Online, the Fellowship Medallion is a significant item introduced during the Rising Tide event. It is essential for participating in various event-related activities and quests, notably those involving the NPC organization known as The Fellowship. The medallion can be obtained from the Black Market Trader in exchange for 10,000 doubloons. This item is used as a key to progress in quests and interact with specific NPCs, revealing hidden paths or information necessary to advance in the storyline. The Rising Tide event, and subsequent updates, expanded the medallion's utility, incorporating it into broader narratives involving The Fellowship's influence throughout Britannia​