Dropped by
a bottomless feaster (Charasis: Maiden's Chamber)
a Deep Forge footman (The Deep Forge)
a desert crawler (Runnyeye: The Gathering)
a disturbed cadaver (Befallen: Cavern of the Afflicted)
a drachnid widow maiden (Jarsath Wastes)
a Dracurion firemancer (Jarsath Wastes)
a fallen knight guardsman (Befallen: Cavern of the Afflicted)
a spectral nullifier (Obelisk of Ahkzul)
a summoned fire snake (Miragul's Phylactery: The Crucible)
a verdant notion (Miragul's Phylactery: Scion of Ice)
a Void lamia (Obelisk of Ahkzul)
a Yha-lei patroller (Jarsath Wastes)
an ambushing grindhoof (Jarsath Wastes)
an ancient reanimator (Kurn's Tower)
an eternal maul (Ward of Elements)
Benach Aglebar (Ward of Elements)
Digg (Ward of Elements)
Drago (Emperor's Athenaeum)
Dread Exarch Mordek (Befallen: Necrotic Asylum)
Executor Vark (Obelisk of Ahkzul)
Firelord Kaern (The Deep Forge)
Fitzfangle (Najena's Hollow Tower)
Garudon (Veksar: The Sunken Theater)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gelidus Ventus (Ward of Elements)
Imperator Ignus (Ward of Elements)
Khost Alur (Ward of Elements)
Lord Marcus Thex (Evernight Abbey)
Nightfall (Emperor's Athenaeum)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Primogen Daishirou (Mistmyr Manor)
Pythoness Olrga (Evernight Abbey)
Queen Velazul Dizok (Chardok)
Ra'zul the Gallery Curator (Mistmyr Manor)
Rhul'maldis the Librarian (Mistmyr Manor)
Shade of Miragul (Miragul's Phylactery: Scion of Ice)
Sir Rouland (Kurn's Tower)
T'Lon the Powermonger (Ravenscale Repository)
The Bonegrinder (Befallen: Cavern of the Afflicted)
The Codexicon (Miragul's Phylactery: The Crucible)
The Eidolon of Depravity (Befallen: Halls of the Forsaken)
The Reformed Magolemus (Najena's Hollow Tower)

Confirmed Locations
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Mobs that drop this item also drop