Dropped by
a Brokenskull officer (Moors of Ykesha)
a chokidai handler (Sebilis)
a cursed traitor (Sebilis)
a ferocious razorfang (Jarsath Wastes)
a forsaken vision (Jarsath Wastes)
a Sathirian gravelord (Sebilis)
a Sebilite guardian (Kunzar Jungle)
a vile stoneleer (Jarsath Wastes)
a void-touched Brokenskull (Moors of Ykesha)
Aimedaca (Miragul's Phylactery: The Crucible)
an Ancient Void-Touched Wumpus (Kurn's Tower: Breaching the Void)
an unearthed sentry (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Fitzfangle (Najena's Hollow Tower)
Gabardine Obisgnul (Evernight Abbey)
Gelidus Ventus (Ward of Elements)
High Ambassador Guralz (Sebilis)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperator Ignus (Ward of Elements)
Khost Alur (Ward of Elements)
Krell Vruup (The Ruins of Guk: The Lower Corridors)
Lord Marcus Thex (Evernight Abbey)
Magmadin (Najena's Hollow Tower)
Primogen Daishirou (Mistmyr Manor)
Ra'zhish (Najena's Hollow Tower)
Selgrak the Monster (Emperor Atrebe's Laboratory: The Fabled City of Kor-sha)
Sir Loros Highgarden (Befallen: Halls of the Forsaken)
Sslatch (Emperor's Athenaeum)
T'Lon the Powermonger (Ravenscale Repository)
The Doomsmith (The Deep Forge)
Thovalakk (Kurn's Tower: Breaching the Void)
Ul'lugh the Divine (Veksar: The Sunken Theater)

Confirmed Locations
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Mobs that drop this item also drop