O Mother is a new DLC exclusive gesture in Elden Ring Shadow of the Erdtree DLC. It is needed to open the path to Scaduview Hinterland, the northeast area in the Realm of Shadow. Hence it has special significance, you need this gesture to fully explore the map, and also to finish Ymir's questline which requires going to the finger ruins in the northeast region.

After getting the gesture, go to "Shadow Keep, Back Gate" site of grace, enter the room on the right and perform the gesture in front of the statue. This will make the statue go away and you can go through the secret path to Hinterland.

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