Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless feaster (Charasis: Maiden's Chamber)
a clay defender (Charasis: Maiden's Chamber)
a crypt juggernaut (The Crypt of Agony)
a cursed traitor (Sebilis)
a Durus decapitator (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a massive juggernaut (Kunzar Jungle)
a mist grinnin patron (Runnyeye: The Gathering)
a risen brittlebone (Kunzar Jungle)
a Sathirian sentry (Charasis: Maiden's Chamber)
a skyfire wyvern (Jarsath Wastes)
a stinging spined succulent (Jarsath Wastes)
a tormented ilis (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a torpid guardian (Charasis: Vault of Eternal Sleep)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an unfathomable feaster (Charasis: Maiden's Chamber)
an unfathomable gnawer (Charasis: Maiden's Chamber)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Gorehoof (Jarsath Wastes)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Kulgarn (Sebilis)
Irefang (Jarsath Wastes)
Maitre d' Rixrir (Sebilis)
Quartermaster Shylav (Sebilis)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop