Dropped by
a boneclaw pincher (Fens of Nathsar)
a Bonedigger pathfinder (Fens of Nathsar)
a drolvarg warmonger (Karnor's Castle)
a Kromdek stonegatherer (Fens of Nathsar)
a Kromdek stonelord (Fens of Nathsar)
a kunzar scaleshredder (Kunzar Jungle)
a risen froglok (Sebilis)
a risen sentry (Sebilis)
a Rubble-rabble burrower (Kunzar Jungle)
a Sathirian trooper (Kunzar Jungle)
a trained war sokokar (Kunzar Jungle)
an ancient reanimator (Kurn's Tower)
an ice-dazed iksar villager (Kunzar Jungle)
Aruze Vleese (The Ruins of Guk: The Lower Corridors)
Baron Yosig (The Crypt of Agony)
Benach Aglebar (Ward of Elements)
Bloodchief Tzabos (Nu'roga)
Bloodpriest Yak'Lar (Nu'roga)
Chaotic Manipulation (Miragul's Phylactery: Scion of Ice)
Drusella Sathir (Charasis: Maiden's Chamber)
Gorscha Gahh (The Ruins of Guk: The Lower Corridors)
Imperator Ignus (Ward of Elements)
Khost Alur (Ward of Elements)
Plague-ridden Crawler Queen (Befallen: Cavern of the Afflicted)
Protectis (Fens of Nathsar)
Pythoness Olrga (Evernight Abbey)
Remnant of Protectis (Fens of Nathsar)
The Codexicon (Miragul's Phylactery: The Crucible)
The Reformed Magolemus (Najena's Hollow Tower)
Wilhelm Horrorbile (Befallen: Necrotic Asylum)
Yynzik the Scornridden (Kurn's Tower: Breaching the Void)

Confirmed Locations
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Mobs that drop this item also drop