Dropped by
a drachnid widow guard (Jarsath Wastes)
a forgotten soul (Sebilis)
a ghastly excretion (Chelsith)
a Nak'azar executioner (Court of Korucust)
a Sandscrawler cook (Runnyeye: The Gathering)
a Sandscrawler shiv (Runnyeye: The Gathering)
a Yha-lei enforcer (Chelsith)
a Yha-lei feeder (Chelsith)
an elite Dracurion fireguard (Jarsath Wastes)
an enslaved blacksmith (Runnyeye: The Gathering)
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)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Tentar (Chelsith)
Mucus of the Deep One (Chelsith)
Nihilist Zeegarn (Sebilis)
Queen Velazul Dizok (Chardok)
Scarscale the Ravager (Jarsath Wastes)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Wrothflame (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop