Dropped by
a Broken Toe shaman (Runnyeye: The Gathering)
a devouring Yha-lei leech (Chelsith)
a ghastly excretion (Chelsith)
a skyfire wurm (Jarsath Wastes)
a skyshadow drake (Jarsath Wastes)
a temple sentinel (Jarsath Wastes)
an ashfire drake (Jarsath Wastes)
an elder skyfire wyvern (Jarsath Wastes)
an Enraged Gnasher (Jarsath Wastes)
Ebonmaw (Jarsath Wastes)
Eldrig the Young (Jarsath Wastes)
General V'Deers (Jarsath Wastes)
High Commander Ziz (Jarsath Wastes)
Queen Imayaruk (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop