Dropped by
a bottomless feaster (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Maiden's Chamber)
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a cursed traitor (Sebilis)
a dormant guardian (Charasis: Vault of Eternal Sleep)
a helot spirit (Charasis: Vault of Eternal Sleep)
a Jarsath jibsnapper (Jarsath Wastes)
a jungle quatcha (Kunzar Jungle)
a massive juggernaut (Kunzar Jungle)
a pyre golem (Charasis: Vault of Eternal Sleep)
a Sathirian gravelord (Sebilis)
a tormented dar (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a towering bastion (Chardok)
a vicious razorfang (Jarsath Wastes)
an aggressive grindhoof (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an unfathomable devourer (Charasis: Maiden's Chamber)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Denmother Yugguh (Moors of Ykesha)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Grand Inquisitor Zeeir (Sebilis)
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)
Master-at-Arms Nishaz (Sebilis)
Praetor of the Phylactery (Charasis: Vault of Eternal Sleep)
Taskmaster Kulrak (Sebilis)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop