The Ramkahen tribe is a faction of flesh tol'vir that control the territory of northern Uldum. They have lived in peace with the other tol'vir tribes for a long time, until the Neferset tribe made relations with Deathwing and the elemental lord Al'Akir. The Ramkahen were given the same choice but refused, they however have taken steps to ensure their safety after seeing the aftermath of the attack on Orsis.
Players start out at Neutral with this faction.
It is possible to increase Ramkahen reputation up to Revered by completing the available Uldum quests. To gain reputation up to Exalted requires the , or completion of the two daily quests  for 150 rep per day and  for 250 rep per day.
You can purchase faction rewards from Blacksmith Abasi.
- Blizzard's graphic inspiration to the Ramkahen Tol'vir where most likely taken from the Dungeons & Dragons creature called Mountain Wemic, considering the very similar appearances.
- The "masked" Ramkahens are most likely inspired by Ra's guards (pic) in the 1994 movie Stargate.