Dropped by
a Gorowyn knight dragoon (Chardok)
a Gorowyn regal knight (Chardok)
a Grungetalon clincher (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
a Yha-lei feeder (Chelsith)
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)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kromikus Di'Zok (Chardok)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Queen Imayaruk (Jarsath Wastes)
Scarscale the Ravager (Jarsath Wastes)
Stalis Ra'Dal (Chardok)
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