Dropped by
a bottomless feaster (Charasis: Maiden's Chamber)
a chokidai mongrel (Sebilis)
a clay defender (Charasis: Maiden's Chamber)
a crypt juggernaut (The Crypt of Agony)
a cursed traitor (Sebilis)
a deadly razorfang (Jarsath Wastes)
a Gazing Petrifier (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a helot spirit (Charasis: Vault of Eternal Sleep)
a Jarsath jibsnapper (Jarsath Wastes)
a jungle quatcha (Kunzar Jungle)
a languid guardian (Charasis: Vault of Eternal Sleep)
a nightmarish vision (Charasis: Vault of Eternal Sleep)
a Sathirian revenant (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a spectral protector (Karnor's Castle)
a tormented dar (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Denmother Yugguh (Moors of Ykesha)
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)
Praetor of the Phylactery (Charasis: Vault of Eternal Sleep)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)

Confirmed Locations
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Mobs that drop this item also drop