Dropped by
a Gorowyn regal knight (Chardok)
a Grungetalon clincher (Runnyeye: The Gathering)
a Grungetalon cook (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Runnyeye mercenary (Runnyeye: The Gathering)
a spectral harbinger (Sebilis)
a Yha-lei defender (Chelsith)
a Yha-lei feeder (Chelsith)
a Yha-lei prognosticator (Chelsith)
a Yha-lei sentinel (Chelsith)
an Immortal guardian (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
High Commander Ziz (Jarsath Wastes)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Kuom'Ziki the Prevailer (Chelsith)
Mucus of the Deep One (Chelsith)
Silzok Foi'zarth (Chardok)
Snaggletooth (Sebilis)
The Blue Baron (Chelsith)
Wrothflame (Jarsath Wastes)
Xa'rgo the Cursed (Sebilis)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop