[55] Poisoned Water, one of the two quests which are a prerequisite to the Hands of the Enemy chain was removed after patch 3.0.8, and the Feat of Strength[The Fifth Element] was rewarded to players who had obtained an Aqual Quintessence; however, if you had obtained or completed the quest Poisoned Water (which along with [57R] Stormers and Rumblers is a prerequisite to the quest chain) you may still obtain and complete Hands of the Enemy and get the Feat of Strength.
Notes
It was used to douse the runes that exist in Molten Core. When all seven runes are doused (one for each boss except Lucifron), Majordomo Executus will spawn.