Dropped by
a bottomless devourer (Charasis: Vault of Eternal Sleep)
a bottomless feaster (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Vault of Eternal Sleep)
a chokidai mongrel (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a cursed traitor (Sebilis)
a Dracurion firemancer (Jarsath Wastes)
a Durus decapitator (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a helot spectre (Charasis: Vault of Eternal Sleep)
a Nak'azar blackguard (Chardok)
a prickly spined succulent (Jarsath Wastes)
a risen sentry (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian researcher (Sebilis)
a Sathirian revenant (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a stinging spined succulent (Jarsath Wastes)
a tormented ilis (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a Yha-lei marauder (Fens of Nathsar)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an unfathomable devourer (Charasis: Maiden's Chamber)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
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)
Librarian Zimor (The Crypt of Agony)
Runnyeye defender (Runnyeye: The Gathering)
Scout Verkaera (Jarsath Wastes)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop