Dropped by
a crypt juggernaut (The Crypt of Agony)
a deadly razorfang (Jarsath Wastes)
a Durus decapitator (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a Grungetalon guest (Runnyeye: The Gathering)
a Sathirian archon (Sebilis)
a Sathirian researcher (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a Sathirian student (Sebilis)
a tormented ilis (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a Torsis spectre (Kunzar Jungle)
a tortured shadow (Jarsath Wastes)
a trakanasaur (Kunzar Jungle)
Admiral Tylix (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Hierophant Prime Kulgarn (Sebilis)
Irefang (Jarsath Wastes)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)

Confirmed Locations
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Mobs that drop this item also drop