I'd be very impressed if you already have a Ceramium Medal. They're hard to come by.

If not, I've perfected a process to combine a Mithril Medal with Noble Balaur Serum to convert them into a Ceramium Medal.

Well... "perfected" might be a bit of an embellishment. But it's worth a shot.

Player: Accept.

I've been hoping someone would come by for a Ceramium Medal so I can hone my conversion skills.

Do you have both the Mithril Medal and Noble Balaur Serum?

Ready when you are.

Player: "Ready. Here you go."

I never intend to squander anyone's items for nothing... but it's always a risk you won't get them back.

If it doesn't complete as a Ceramium Medal, I do apologize.

Check your inventory. Come back with more materials if this attempt is unsuccessful.