Dropped by
a Broken Toe shaman (Runnyeye: The Gathering)
a flammed secernment (Chelsith)
a gathering skorpikis (Emperor's Athenaeum)
a Gorowyn knight dragoon (Chardok)
a Grungetalon elite (Runnyeye: The Gathering)
a hungry boarling (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian dignitary (Sebilis)
a stalwart Yha-lei champion (Chelsith)
a Yha-lei vindicator (Chelsith)
an elder skyfire wyvern (Jarsath Wastes)
an Immortal guardian (Chardok)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Consuma (Chelsith)
Mucus of the Deep One (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Stalis Ra'Dal (Chardok)
The Blue Baron (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop