Dropped by
a Bathezid sentinel (Chardok)
a bottomless feaster (Charasis: Vault of Eternal Sleep)
a chokidai handler (Sebilis)
a chokidai pup (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a desert crawler (Runnyeye: The Gathering)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a mist grinnin guest (Runnyeye: The Gathering)
a mistgoblin warrior (Kunzar Jungle)
a nettle spined succulent (Jarsath Wastes)
a prickly spined succulent (Jarsath Wastes)
a Sathirian gravelord (Sebilis)
a Sathirian spiritist (Sebilis)
a skyfire drake (Jarsath Wastes)
a tormented ilis (The Crypt of Agony)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an undertaker supplicant (Charasis: Vault of Eternal Sleep)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Blacksmith Sathgar (Sebilis)
Denmother Yugguh (Moors of Ykesha)
Gruplinort (The Crypt of Agony)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Librarian Zimor (The Crypt of Agony)
Praetor of the Phylactery (Charasis: Vault of Eternal Sleep)
Quartermaster Shylav (Sebilis)
Ripcurl (Jarsath Wastes)
Shardak the Silent (Kunzar Jungle)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
third key guardian (Kunzar Jungle)
Warlord Shrez'Nid (Chardok)
Wildhorn the Rampager (Chardok)

Confirmed Locations
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Mobs that drop this item also drop