Dropped by
a Grungetalon advisor (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a Nak'azar prison guard (Court of Korucust)
a Nak'azar rearguard (Chardok)
a reet slave (Sebilis)
a Sathirian legionnaire (Sebilis)
a temple sentinel (Jarsath Wastes)
a Yha-lei defender (Chelsith)
a Yha-lei feeder (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
Bbal'Gaz the Enthraller (Chelsith)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Kaashanosak the Ancient (Jarsath Wastes)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Tentar (Chelsith)
Memnmamar Marrowgut (Runnyeye: The Gathering)
Queen Imayaruk (Jarsath Wastes)
Remnant of Sand (Charasis: Maiden's Chamber)
Scarscale the Ravager (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
Widow Matron Eilyan (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop