Dropped by
a Boombottom observer (Runnyeye: The Gathering)
a bottomless feaster (Charasis: Maiden's Chamber)
a chokidai handler (Sebilis)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a drachnid widow guard (Jarsath Wastes)
a Durus decapitator (Jarsath Wastes)
a Gazing Petrifier (Jarsath Wastes)
a languid guardian (Charasis: Vault of Eternal Sleep)
a nightmarish vision (Charasis: Vault of Eternal Sleep)
a rival plunderer (Kunzar Jungle)
a Sathirian sentry (Charasis: Maiden's Chamber)
a sepulchre skeleton (Charasis: Vault of Eternal Sleep)
a sepulchre spirit (Charasis: Vault of Eternal Sleep)
a tormented bok (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a Torsis phantom (Kunzar Jungle)
a tortured shadow (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an unearthed soldier (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Denmother Yugguh (Moors of Ykesha)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Grand Inquisitor Zeeir (Sebilis)
Gregor Thunderfist (Fens of Nathsar)
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)
Stoneneb (Kunzar Jungle)
The Incredible Lumberer (Moors of Ykesha)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)
Wildhorn the Rampager (Chardok)
Witchdoctor Hazar (Kunzar Jungle)

Confirmed Locations
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Mobs that drop this item also drop