Dropped by
a boneclaw destroyer (Fens of Nathsar)
a bottomless gnawer (Charasis: Maiden's Chamber)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a deadly razorfang (Jarsath Wastes)
a Dracurion hoplite (Jarsath Wastes)
a dragon drool leech (Kunzar Jungle)
a dreaded stonegazer (Jarsath Wastes)
a Durus scar guardian (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a mistgoblin warrior (Kunzar Jungle)
a Sathirian sentry (Charasis: Maiden's Chamber)
a spurbone skeleton (Kunzar Jungle)
a tormented ilis (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a trakanasaur (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an unearthed dragoon (Jarsath Wastes)
an unearthed sentry (Jarsath Wastes)
Denmother Yugguh (Moors of Ykesha)
Fallen Emperor Vekin (The Crypt of Agony)
Gorehoof (Jarsath Wastes)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Razorbeak (Moors of Ykesha)
The Great Rustyback (Moors of Ykesha)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop