Dropped by
a bottomless devourer (Charasis: Vault of Eternal Sleep)
a chokidai handler (Sebilis)
a chokidai mongrel (Sebilis)
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a haunting spirit (Charasis: Vault of Eternal Sleep)
a Sathirian gravelord (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a Sathirian student (Sebilis)
a tormented bok (The Crypt of Agony)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Caretaker Murgox (Moors of Ykesha)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Irefang (Jarsath Wastes)
Librarian Zimor (The Crypt of Agony)
Ripcurl (Jarsath Wastes)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Reservoir Defender (Chardok)

Confirmed Locations
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Mobs that drop this item also drop