Dropped by
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a drachnid widow maiden (Jarsath Wastes)
a Dracurion warder (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a mistgoblin shaman (Kunzar Jungle)
a prickly spined succulent (Jarsath Wastes)
a risen sentry (Sebilis)
a runewake impaler (Jarsath Wastes)
a Sathirian milite (Kunzar Jungle)
a Sathirian patron (Sebilis)
a skyfire wyvern (Jarsath Wastes)
a sporconid eyesore (Kunzar Jungle)
a tormented ilis (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
a vicious razorfang (Jarsath Wastes)
an ambushing grindhoof (Jarsath Wastes)
an unearthed sentry (Jarsath Wastes)
Barrelspike (Jarsath Wastes)
Denmother Yugguh (Moors of Ykesha)
Gorehoof (Jarsath Wastes)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Irefang (Jarsath Wastes)
Ripcurl (Jarsath Wastes)
Tralb the Mystic (Kunzar Jungle)
Ulroth the Protector (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop