Dropped by
a ghastly excretion (Chelsith)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a Nak'azar prison guard (Court of Korucust)
a reanimated burynai behemoth (Kurn's Tower)
a sleepy boarling (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Dominus Ganak (Kunzar Jungle)
Ebonmaw (Jarsath Wastes)
General V'Deers (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Kaashanosak the Ancient (Jarsath Wastes)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Mucus of the Deep One (Chelsith)
Nortalz Di'Zok (Chardok)
Scarscale the Ravager (Jarsath Wastes)
Snaggletooth (Sebilis)
Stalis Ra'Dal (Chardok)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Warlord Drelikus (Chardok)
Wrothflame (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop