Dropped by
a Caroeth vanquisher (Chardok)
a chokidai handler (Sebilis)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a Nak'azar rearguard (Chardok)
a Sathirian legionnaire (Sebilis)
a Yha-lei enforcer (Chelsith)
a Yha-lei sentinel (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Kromikus Di'Zok (Chardok)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
Snok Eyegouger (Runnyeye: The Gathering)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop