Dropped by
a Broken Toe backbiter (Runnyeye: The Gathering)
a Dracurion firemancer (Jarsath Wastes)
a Gorowyn regal knight (Chardok)
a parasitic incuiline (Chelsith)
a Yha-lei defender (Chelsith)
a Yha-lei enforcer (Chelsith)
a Yha-lei feeder (Chelsith)
a Yha-lei prognosticator (Chelsith)
a Yha-lei sentinel (Chelsith)
an enslaved blacksmith (Runnyeye: The Gathering)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Eldrig the Young (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
Imperial Crypt Guardian (Sebilis)
Kaashanosak the Ancient (Jarsath Wastes)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Praetorian Captain Nagol (Sebilis)
Queen Imayaruk (Jarsath Wastes)
Wrothflame (Jarsath Wastes)
Xorxx (Runnyeye: The Gathering)

Confirmed Locations
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Mobs that drop this item also drop