Dropped by
a chokidai mongrel (Sebilis)
a crypt guardian (Sebilis)
a Gorowyn knight sentinel (Chardok)
a murky sludge (Chelsith)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian praetorian (Sebilis)
a Sathirian whipcracker (Sebilis)
a Yha-lei enforcer (Chelsith)
a Yha-lei worshipper (Chelsith)
an abyss lurker (Chelsith)
an imprisoned soul of Shai'din (Court of Korucust)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Chieftain Kanar (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Drusella Sathir (Charasis: Maiden's Chamber)
First Lieutenant Rixol (Sebilis)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Nihilist Yeegarn (Sebilis)
Sandstorm (Charasis: Maiden's Chamber)
The Blue Baron (Chelsith)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop