Dropped by
a Grungetalon elite (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian legionnaire (Sebilis)
a skyfire drake (Jarsath Wastes)
a Yha-lei sentinel (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
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)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Mucus of the Deep One (Chelsith)
Queen Velazul Dizok (Chardok)
The Blue Baron (Chelsith)
The Reet Pickler (Sebilis)
Uth'Gak the Grand Devotor (Chelsith)
Warlord Drelikus (Chardok)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop