Dropped by
a Broken Toe dust mystic (Runnyeye: The Gathering)
a chokidai mongrel (Sebilis)
A Dracurion keeper (Jarsath Wastes)
a Dracurion warder (Jarsath Wastes)
a flammed secernment (Chelsith)
a ghastly excretion (Chelsith)
a Gorowyn regal knight (Chardok)
a Sandscrawler gouger (Runnyeye: The Gathering)
a skyfire wurm (Jarsath Wastes)
a Villisis dweller (Chardok)
a Yha-lei arbiter (Chelsith)
a Yha-lei enforcer (Chelsith)
a Yha-lei sentinel (Chelsith)
a Yha-lei worshipper (Chelsith)
an abyss lurker (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
an Immortal guardian (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Crystalline Destroyer (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Kaashanosak the Ancient (Jarsath Wastes)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Nortalz Di'Zok (Chardok)
Praetorian Captain Nagol (Sebilis)
Remnant of Sand (Charasis: Maiden's Chamber)
The Blue Baron (Chelsith)
Warden Sheezol (Court of Korucust)
Warlord Drelikus (Chardok)
Widow Matron Eilyan (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop