Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a chokidai bloodhound (Chardok)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a Grungetalon guest (Runnyeye: The Gathering)
a pyre golem (Charasis: Vault of Eternal Sleep)
a risen brittlebone (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Gorehoof (Jarsath Wastes)
Gregor Thunderfist (Fens of Nathsar)
Ripcurl (Jarsath Wastes)
Shardak the Silent (Kunzar Jungle)
Ulroth the Protector (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)
Witchdoctor Hazar (Kunzar Jungle)

Confirmed Locations
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Mobs that drop this item also drop