To find the Quake Medallion, you need to be in the Dark World and have the Power Gloves or Titan Mitts. Go to the area similar to where the Waterfall Of Wishing is located (where you can toss in your small shield and get a red one). You should see a ring of stones, and a skull and bush to the right. Pick up the skull and throw it in the middle of the ring. A big fish should appear and give you the Quake Medallion. Do not try to throw something in again, unless you want a fireball in the face. If you leave the screen, return, and throw something in, some fish bones will jump out of the water.
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