Dropped by
a forsaken reminiscence (Miragul's Phylactery: Scion of Ice)
a Gunthak razortooth (Moors of Ykesha)
a mist grinnin fisher (Runnyeye: The Gathering)
a Sandscrawler herder (Runnyeye: The Gathering)
a skyfire wurm (Jarsath Wastes)
a summoned fire snake (Miragul's Phylactery: The Crucible)
a terrorspine shark (Jarsath Wastes)
a Yha-lei netman (Jarsath Wastes)
an unfathomable devourer (Charasis: Maiden's Chamber)
Brokenskull extractor (Moors of Ykesha)
Chaotic Manipulation (Miragul's Phylactery: Scion of Ice)
Corpus Amygdalus (Miragul's Phylactery: The Anathema)
Dayakara (Ward of Elements)
Digg (Ward of Elements)
Executor Vark (Obelisk of Ahkzul)
Firelord Kaern (The Deep Forge)
Garudon (Veksar: The Sunken Theater)
Gelidus Ventus (Ward of Elements)
Hulking Drachnid Prototype (Ravenscale Repository)
Imperator Ignus (Ward of Elements)
Khost Alur (Ward of Elements)
Kristalin the Secretary (Mistmyr Manor)
Lord Marcus Thex (Evernight Abbey)
Magus Vein'ca (Anchor of Bazzul)
Maldormous Exeter (Palace of Ferzhul)
Overseer of Devastation (Ravenscale Repository)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Primogen Daishirou (Mistmyr Manor)
Shade of Miragul (Miragul's Phylactery: Scion of Ice)
Sir Loros Highgarden (Befallen: Halls of the Forsaken)
T'Lon the Powermonger (Ravenscale Repository)
The Bonegrinder (Befallen: Cavern of the Afflicted)
The Codexicon (Miragul's Phylactery: The Crucible)
The Eidolon of Depravity (Befallen: Halls of the Forsaken)
The Master (Miragul's Phylactery: The Crucible)
The Reformed Magolemus (Najena's Hollow Tower)
Tuz'Rak (Nu'roga)
Wilhelm Horrorbile (Befallen: Necrotic Asylum)

Confirmed Locations
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Mobs that drop this item also drop