Dropped by
a bottomless gnawer (Charasis: Maiden's Chamber)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a Gazing Petrifier (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a haunting spirit (Charasis: Vault of Eternal Sleep)
a massive juggernaut (Kunzar Jungle)
a mist grinnin savage (Runnyeye: The Gathering)
a nightmarish vision (Charasis: Vault of Eternal Sleep)
a Sathirian researcher (Sebilis)
a sokokar ravager (Chardok)
a spurbone skeleton (Kunzar Jungle)
a terrorspine shark (Jarsath Wastes)
a tormented bok (The Crypt of Agony)
a torpid guardian (Charasis: Vault of Eternal Sleep)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an undertaker supplicant (Charasis: Vault of Eternal Sleep)
an unfathomable devourer (Charasis: Maiden's Chamber)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Denmother Yugguh (Moors of Ykesha)
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)
Librarian Zimor (The Crypt of Agony)
Shardak the Silent (Kunzar Jungle)
Stoneneb (Kunzar Jungle)
Taskmaster Kulrak (Sebilis)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Reservoir Defender (Chardok)
Ulroth the Protector (Jarsath Wastes)
Witchdoctor Hazar (Kunzar Jungle)

Confirmed Locations
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Mobs that drop this item also drop