Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Maiden's Chamber)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a deadly razorfang (Jarsath Wastes)
a Durus decapitator (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a Sathirian centurion (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian officer (Sebilis)
a Sathirian spiritist (Sebilis)
a tormented bok (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a torpid guardian (Charasis: Vault of Eternal Sleep)
a Yha-lei marauder (Fens of Nathsar)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an iron construct (Kunzar Jungle)
an undertaker supplicant (Charasis: Vault of Eternal Sleep)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Denmother Yugguh (Moors of Ykesha)
Doom (Kunzar Jungle)
Gorehoof (Jarsath Wastes)
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)
Hierophant Prime Kulgarn (Sebilis)
Librarian Zimor (The Crypt of Agony)
Snappyjaw (Moors of Ykesha)
Stoneneb (Kunzar Jungle)
Taskmaster Kulrak (Sebilis)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop