Dropped by
a Broken Toe backbiter (Runnyeye: The Gathering)
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a Gorowyn palace adjutant (Chardok)
a Nurgan raider (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
a Yha-lei feeder (Chelsith)
an Immortal guardian (Chardok)
an imperial construct (Chardok)
an imperial golem (Chardok)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Dominus Ganak (Kunzar Jungle)
Ebonmaw (Jarsath Wastes)
Eldrig the Young (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Kaashanosak the Ancient (Jarsath Wastes)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Tentar (Chelsith)
Mucus of the Deep One (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Slamhammer (Runnyeye: The Gathering)
The Blue Baron (Chelsith)
Warlord Drelikus (Chardok)

Confirmed Locations
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Mobs that drop this item also drop