Dropped by
a chokidai mongrel (Sebilis)
a ghastly excretion (Chelsith)
a Grungetalon advisor (Runnyeye: The Gathering)
a Grungetalon diplomat (Runnyeye: The Gathering)
a Grungetalon scratcher (Runnyeye: The Gathering)
a hungry boarling (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler gritwitch (Runnyeye: The Gathering)
a Yha-lei feeder (Chelsith)
a Yha-lei sentinel (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Eldrig the Young (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
High Commander Ziz (Jarsath Wastes)
High Shaman Vohan (Runnyeye: The Gathering)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Glamar (Chelsith)
Master Arcanist Guroth (Sebilis)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
Stalis Ra'Dal (Chardok)
The Blue Baron (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop