Make your way to The Rampant Lioness and speak to Damaris.
Select 'Do you need help with anything' (or 'Quests' if you've spoken to her previously) followed by 'I need to get this mask removed' to begin the quest.
Make your way to Mehden Island either by swimming or by boat (you can find a boat on the Western side of the island, near where you first arrive at Tal'Senet).
Once you've landed at Mehden Island, head to the Campfire immediately ahead of you and then make your way Southwest to find the Shaken Villager.
Kill the nearby Cursed ones and then speak to her.
Escort the Shaken Villager to Mehden Village, kill the nearby 2 Cursed ones and 1 Cursed Berserker.
Once they're dealt with, speak to the Shaken Villager again.
You'll find the temple directly West of Mehden Village, before heading in I recommend spending your attribute points at the nearby campfire & equipping any osirup you have to your quickslots since you're in for a boss fight.
When you're ready, interact with Utnas' body in the temple.
The Felreq fight is fairly simple, they have four abilities:
Individually all of these easily managable, just be careful to not be combo'd out (such as being grabbed then thrown into the shadow circle).
Each time you kill her, you need to damage the statue in the middle of the room which will then spawn another copy of her every ~25% hp lost.
Quest complete!
The Rampant Lioness (Quest Start)
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Boat location (Quest Start)
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Mehden Island (Quest Start)
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Shaken Villager (Search for the Blacksmith)
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Temple Location (Finding Utnas)
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Travel to Mehden Island
Search for the Blacksmith
Save the Trapped Villager
Clear the area
Speak to the saved villager
Find Utnas at the temple
Defeat the Felreq