Dropped by
a Boombottom guest (Runnyeye: The Gathering)
a bottomless feaster (Charasis: Maiden's Chamber)
a clay enforcer (Sebilis)
a Dracurion hoplite (Jarsath Wastes)
a Durus flayer (Jarsath Wastes)
a Gazing Petrifier (Jarsath Wastes)
a massive juggernaut (Kunzar Jungle)
a mistgoblin warrior (Kunzar Jungle)
a prickly spined succulent (Jarsath Wastes)
a Sathirian gravelord (Sebilis)
a skyfire wyvern (Jarsath Wastes)
a stinging spined succulent (Jarsath Wastes)
a terrorspine shark (Jarsath Wastes)
a tormented kor (The Crypt of Agony)
a vile stoneleer (Jarsath Wastes)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
Arch Duke Latol (The Crypt of Agony)
Caretaker Murgox (Moors of Ykesha)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Gorehoof (Jarsath Wastes)
Gregor Thunderfist (Fens of Nathsar)
Igoo (Kunzar Jungle)
Irefang (Jarsath Wastes)
Ripcurl (Jarsath Wastes)
Shardak the Silent (Kunzar Jungle)
Snorespore (Kunzar Jungle)
Tralb the Mystic (Kunzar Jungle)
Ulroth the Protector (Jarsath Wastes)
Warlord Zon'Kir (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop