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Bullhorn of Most Plenty
Call out more enemies. More, more!!
Bullhorn of Most Plenty requires you to use 15 
Bullhorn of Calling items in a single instance run, with progress tracked per-match rather than cumulatively across multiple runs.
Stock Up on Bullhorns
Have at least 15 Bullhorn of Calling in your bags before queuing. Progress is not cumulative across matches, so all 15 uses must happen within a single run.
Queue Solo
Queue for the instance solo to avoid range and credit issues that occur in a group setting.
Clear All Trash First
Kill all small trash packs in phase 1 before attempting to use the Bullhorn of Calling, as it cannot be activated until the trash is cleared.
Spam Bullhorn on Cooldown
Once the bosses spawn, macro /use Bullhorn of Calling to a spell you press frequently and use it on cooldown. Click the gears to extend the timer as needed, and avoid dealing damage to the bosses so the NPCs keep them alive long enough for you to reach 15 uses.
Die and Respawn if Needed
Dying and respawning at the starting area is acceptable — continue using the Bullhorn of Calling on cooldown after respawning. The timer expiring does not prevent the achievement from being awarded; it pops on your 15th use.
Tips
If doing this in a group, stack closely together with all party members when using the Bullhorn of Calling, as there appears to be a range requirement for each player to receive credit.