Akoth-Skae is one of the larger islands of the Shattered Coast, located at the south-eastern edge of the archipelago, several hundred miles from the Eastern Almerion Coast. Akoth-Skae is a lush isle of fertile grasslands and sub-tropical forests. Humans are the dominant race, dwelling mostly in small towns and steadings. The largest population of humans live in the half-ruined city of Akoth-Shaln, led by the Baroness Azulia Shaln, who is also the nominal ruler of Akoth-Skae. Orcs, gnolls and ogrekind can also be found on the island.