Dropped by
a Caroeth vanquisher (Chardok)
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a Nak'azar prison guard (Chardok)
a temple sentinel (Jarsath Wastes)
a Yha-lei enforcer (Chelsith)
a Yha-lei feeder (Chelsith)
a Yha-lei sentinel (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
an imperial construct (Chardok)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Crystalline Destroyer (Jarsath Wastes)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
Kromikus Di'Zok (Chardok)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Octoravager (Moors of Ykesha)
Qumus the Ominous (Jarsath Wastes)
Scarscale the Ravager (Jarsath Wastes)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Warlord Drelikus (Chardok)

Confirmed Locations
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Mobs that drop this item also drop