Dropped by
a Caroeth vanquisher (Chardok)
a flammed secernment (Chelsith)
a Gorowyn regal knight (Chardok)
a reet slave (Sebilis)
a skyfire wyvern (Jarsath Wastes)
a stalwart Yha-lei champion (Chelsith)
a Yha-lei arbiter (Chelsith)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
an Immortal guardian (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
First Lieutenant Rixol (Sebilis)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Mucus of the Deep One (Chelsith)
Nihilist Yeegarn (Sebilis)
Snok Eyegouger (Runnyeye: The Gathering)
The Blue Baron (Chelsith)
Widow Matron Eilyan (Jarsath Wastes)
Xorxx (Runnyeye: The Gathering)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop