Dropped by
a Gorowyn hierophant (Chardok)
a Grungetalon elite (Runnyeye: The Gathering)
a Nurgan stabber (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian dignitary (Sebilis)
a skyfire drake (Jarsath Wastes)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
an imperial golem (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Master Arcanist Guroth (Sebilis)
Megalodon (Jarsath Wastes)
Queen Imayaruk (Jarsath Wastes)
Uth'Gak the Grand Devotor (Chelsith)
Warlord Drelikus (Chardok)
Widow Matron Eilyan (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop