Dropped by
a Brokenskull officer (Moors of Ykesha)
a crypt juggernaut (The Crypt of Agony)
a mountain crawler (Moors of Ykesha)
an ancient denizen (Jarsath Wastes)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Telvorsinn (Kurn's Tower: Breaching the Void)
The Codexicon (Miragul's Phylactery: The Crucible)
The Doomsmith (The Deep Forge)
The Reformed Magolemus (Najena's Hollow Tower)
Trogoldon Greck (The Ruins of Guk: Ykesha's Outer Stronghold)
Yynzik the Scornridden (Kurn's Tower: Breaching the Void)

Confirmed Locations
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Mobs that drop this item also drop