Revelations from Patch 5.4

[Kuroka]

It's not them, we just can't tell kobolds apart, and the implication is that they're making sacrifices for every summoning of Titan now.

(Kobolds)

Actually the little tokken we got at that quest - https://ffxiv.consolegameswiki.com/wiki/Primal_Focus already stated that it seems to be made from each's race bones, suggesting that's the case since every Lv. 50 version...

[Iscah]

Actually the little tokken we got at that quest - https://ffxiv.consolegameswiki.com/wiki/Primal_Focus already stated that it seems to be made from each's race bones, suggesting that's the case since every Lv. 50 version...

That too, though by the Lv60 quests they seem to have moved from "ritual focus fashioned from the bones of a willing sacrifice" to just outright killing people who didn't think the summoning should go ahead.