Dropped by
a chokidai bloodhound (Chardok)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a haunting spirit (Charasis: Vault of Eternal Sleep)
a massive juggernaut (Kunzar Jungle)
a mistgoblin shaman (Kunzar Jungle)
a Sathirian gravelord (Sebilis)
a spectral harbinger (Sebilis)
a tormented bok (The Crypt of Agony)
an agitated corpse (The Crypt of Agony)
an iksar insurgent (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
dark seepage (Jarsath Wastes)
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)
Librarian Zimor (The Crypt of Agony)
Lord Vizaroth (The Crypt of Agony)
Mate Thugurg (Moors of Ykesha)
Razorbeak (Moors of Ykesha)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)
Witchdoctor Hazar (Kunzar Jungle)

Confirmed Locations
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Mobs that drop this item also drop