Dropped by
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a Dracurion hoplite (Jarsath Wastes)
a Durus decapitator (Jarsath Wastes)
a Durus flayer (Jarsath Wastes)
a forgotten phantasm (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a risen froglok (Sebilis)
a risen sentry (Sebilis)
a tormented dar (The Crypt of Agony)
a Torsis spectre (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an iksar insurgent (Jarsath Wastes)
Doom (Kunzar Jungle)
fourth key guardian (Kunzar Jungle)
Gregor Thunderfist (Fens of Nathsar)
Igoo (Kunzar Jungle)
Strategist Yeeol (Sebilis)
Warlord Zon'Kir (Jarsath Wastes)
Witchdoctor Hazar (Kunzar Jungle)

Confirmed Locations
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Mobs that drop this item also drop