“ In a small, genetically isolated region it is not uncommon for the locals to have three arms. The third arm is generally a second right arm that is a good bit weaker than a normal arm and is generally held against the chest. This hird arm is most often used to carry small things, though some of the more skilled craftsmen have learned little tricks with their third arm.”
“ Dust Elemental
https://gatherer.wizards.com/Pages/Card/Details.aspx?multiverseid=1594
At the corner of air and earth elemental planes resides the dust Elemental, a growing threat to Parisia. With it's powerful choking attack, this creature is a threat to the city. More and more of them are appearing in town, spawned from the many dust devils, a frequent foe of the party, they come in size from 3 HD to 20 HD. Why are there so many? Why in the city?”