Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a desert crawler (Runnyeye: The Gathering)
a dialated retaliator (Runnyeye: The Gathering)
a Durus scar guardian (Jarsath Wastes)
a helot spirit (Charasis: Vault of Eternal Sleep)
a risen sentry (Sebilis)
a Sathirian revenant (Sebilis)
a Sathirian student (Sebilis)
a sepulchre spectre (Charasis: Vault of Eternal Sleep)
a stinging spined succulent (Jarsath Wastes)
a tormented bok (The Crypt of Agony)
a tormented dar (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a trakanasaur (Kunzar Jungle)
a vile stoneleer (Jarsath Wastes)
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)
Barrelspike (Jarsath Wastes)
Gorehoof (Jarsath Wastes)
Gregor Thunderfist (Fens of Nathsar)
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)
Irefang (Jarsath Wastes)
Librarian Zimor (The Crypt of Agony)
The Incredible Lumberer (Moors of Ykesha)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Reservoir Defender (Chardok)
Warlord Zon'Kir (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop