Dropped by
a bottomless gnawer (Charasis: Vault of Eternal Sleep)
a chokidai handler (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a nettle spined succulent (Jarsath Wastes)
a nightmarish vision (Charasis: Vault of Eternal Sleep)
a provisioner (Sebilis)
a risen sentry (Sebilis)
a Runnyeye host (Runnyeye: The Gathering)
a Sathirian centurion (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian patron (Sebilis)
a tormented ilis (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a vile stoneleer (Jarsath Wastes)
a volcanic leatherback (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ancient occupant (Jarsath Wastes)
an iksar insurgent (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Grand Inquisitor Zeeir (Sebilis)
Gruplinort (The Crypt of Agony)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Hierophant Prime Kulgarn (Sebilis)
Igoo (Kunzar Jungle)
Irefang (Jarsath Wastes)
Librarian Zimor (The Crypt of Agony)
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