Dropped by
a clay juggernaut (Sebilis)
a crypt guardian (Sebilis)
a devouring Yha-lei leech (Chelsith)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a Gorowyn knight sentinel (Chardok)
a Gorowyn regal knight (Chardok)
a Grungetalon elite (Runnyeye: The Gathering)
a Nak'azar rearguard (Chardok)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
a Yha-lei worshipper (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
High Ambassador Guralz (Sebilis)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Majora Leviathora (Chelsith)
Master Arcanist Guroth (Sebilis)
Mucus of the Deep One (Chelsith)
myconid dweller (Sebilis)
Nortalz Di'Zok (Chardok)
Scarscale the Ravager (Jarsath Wastes)
The Blue Baron (Chelsith)
Warlord Hir'roul (Chardok)
Widow Matron Eilyan (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop