Dropped by
a Caroeth vanquisher (Chardok)
a Gorowyn vizier (Chardok)
a Nak'azar prison guard (Court of Korucust)
a skyfire wurm (Jarsath Wastes)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
an imperial golem (Chardok)
Bbal'Gaz the Enthraller (Chelsith)
Chieftain Kanar (Runnyeye: The Gathering)
Chieftain Siltsea (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Scarscale the Ravager (Jarsath Wastes)
The Blue Baron (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop