Dropped by
a Boombottom observer (Runnyeye: The Gathering)
a bottomless feaster (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Vault of Eternal Sleep)
a chokidai handler (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a cursed traitor (Sebilis)
a deadly razorfang (Jarsath Wastes)
a Grungetalon guest (Runnyeye: The Gathering)
a helot spectre (Charasis: Vault of Eternal Sleep)
a Nak'azar blackguard (Chardok)
a Sathirian gravelord (Sebilis)
a Sathirian researcher (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a tormented ilis (The Crypt of Agony)
a vicious razorfang (Jarsath Wastes)
a vile stoneleer (Jarsath Wastes)
a Villisis dweller (Chardok)
an agitated corpse (The Crypt of Agony)
an iron construct (Kunzar Jungle)
Arcanist Kulir (Sebilis)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Blacksmith Sathgar (Sebilis)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Hierophant Prime Kulgarn (Sebilis)
Igoo (Kunzar Jungle)
Irefang (Jarsath Wastes)
Librarian Zimor (The Crypt of Agony)
Ripcurl (Jarsath Wastes)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)
Warlord Shrez'Nid (Chardok)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop