Dropped by
a Broken Toe backbiter (Runnyeye: The Gathering)
a Broken Toe scrapper (Runnyeye: The Gathering)
a devouring Yha-lei leech (Chelsith)
a gnawing devourer (Jarsath Wastes)
a hungry boarling (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler cook (Runnyeye: The Gathering)
a Sathirian legionnaire (Sebilis)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
a Yha-lei worshipper (Chelsith)
an Immortal knight (Chardok)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Burrtoe the Gorged (Runnyeye: The Gathering)
Drusella Sathir (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
High Commander Ziz (Jarsath Wastes)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Mucus of the Deep One (Chelsith)
Queen Imayaruk (Jarsath Wastes)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Widow Matron Eilyan (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop