Dropped by
a Broken Toe scrapper (Runnyeye: The Gathering)
a chokidai mongrel (Sebilis)
a devoted Yha-lei sectary (Chelsith)
a ghastly excretion (Chelsith)
a Gorowyn regal knight (Chardok)
a Grungetalon advisor (Runnyeye: The Gathering)
a Nak'azar rearguard (Chardok)
a Sandscrawler ruffian (Runnyeye: The Gathering)
a Yha-lei vindicator (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
First Lieutenant Rixol (Sebilis)
General V'Deers (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Memnmamar Marrowgut (Runnyeye: The Gathering)
Queen Imayaruk (Jarsath Wastes)
Queen Velazul Dizok (Chardok)
Uth'Gak the Grand Devotor (Chelsith)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop