Dropped by
a bottomless devourer (Charasis: Vault of Eternal Sleep)
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt juggernaut (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a mistgoblin warrior (Kunzar Jungle)
a Runnyeye host (Runnyeye: The Gathering)
a trakanasaur (Kunzar Jungle)
a trakaraptor (Kunzar Jungle)
a vile stoneleer (Jarsath Wastes)
a Yha-lei harpooner (Jarsath Wastes)
an aggressive grindhoof (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an unearthed dragoon (Jarsath Wastes)
Barrelspike (Jarsath Wastes)
Gregor Thunderfist (Fens of Nathsar)
Librarian Zimor (The Crypt of Agony)
Ripcurl (Jarsath Wastes)
Ulroth the Protector (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop