Dropped by
a Broken Toe shaman (Runnyeye: The Gathering)
a chokidai mongrel (Sebilis)
a Dracurion warder (Jarsath Wastes)
a feasting devourer (Jarsath Wastes)
a Gorowyn knight sentinel (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Yha-lei enforcer (Chelsith)
a Yha-lei feeder (Chelsith)
an imperial golem (Chardok)
Ebonmaw (Jarsath Wastes)
High Commander Ziz (Jarsath Wastes)
Leviathor'Tentar (Chelsith)
Majora Leviathora (Chelsith)
Megalodon (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Mobs that drop this item also drop