Dropped by
a Boombottom observer (Runnyeye: The Gathering)
a chokidai handler (Sebilis)
a chokidai pup (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a deadly razorfang (Jarsath Wastes)
a Durus flayer (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a Nak'azar blackguard (Chardok)
a risen sentry (Sebilis)
a Runnyeye guard (Runnyeye: The Gathering)
a Sathirian archon (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian milite (Kunzar Jungle)
a Sebilite guardian (Kunzar Jungle)
a sokokar ravager (Chardok)
a tormented bok (The Crypt of Agony)
a tormented ilis (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Blacksmith Sathgar (Sebilis)
Grand Master Sathaz (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)
Librarian Zimor (The Crypt of Agony)
Mate Thugurg (Moors of Ykesha)
Nightclaw (Kunzar Jungle)
Shardak the Silent (Kunzar Jungle)
The Chardok Trampler (Chardok)
The Great Rustyback (Moors of Ykesha)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Warlord Zon'Kir (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop