Dropped by
a dragon drool leech (Kunzar Jungle)
a mistgoblin warrior (Kunzar Jungle)
a risen sentry (Sebilis)
a Sathirian milite (Kunzar Jungle)
a trained war sokokar (Kunzar Jungle)
a vicious Vespid hornet (Kunzar Jungle)
Aimedaca (Miragul's Phylactery: The Crucible)
an agitated corpse (The Crypt of Agony)
Dayakara (Ward of Elements)
Guard Captain Kelkrin (Emperor Atrebe's Laboratory: The Fabled City of Kor-sha)
Harbringer Freglor (The Crypt of Agony)
Hulking Drachnid Prototype (Ravenscale Repository)
Lord Marcus Thex (Evernight Abbey)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Shade of Miragul (Miragul's Phylactery: Scion of Ice)
The Bonegrinder (Befallen: Cavern of the Afflicted)
The Codexicon (Miragul's Phylactery: The Crucible)
The Doomsmith (The Deep Forge)
The Reformed Magolemus (Najena's Hollow Tower)
Yourself (Miragul's Phylactery: The Anathema)

Confirmed Locations
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Mobs that drop this item also drop