Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a crypt juggernaut (The Crypt of Agony)
a cursed traitor (Sebilis)
a Durus flayer (Jarsath Wastes)
a jade construct (Kunzar Jungle)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a nightmarish vision (Charasis: Vault of Eternal Sleep)
a pyre golem (Charasis: Vault of Eternal Sleep)
a Runnyeye guard (Runnyeye: The Gathering)
a Sathirian centurion (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian patron (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a skyfire drake (Jarsath Wastes)
a tormented soul (Sebilis)
a trained war sokokar (Kunzar Jungle)
a Yha-lei netman (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an undertaker supplicant (Charasis: Vault of Eternal Sleep)
an unearthed dragoon (Jarsath Wastes)
an unfathomable feaster (Charasis: Maiden's Chamber)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
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)
Librarian Zimor (The Crypt of Agony)
Ra'Tsinis (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Reservoir Defender (Chardok)
Watch Sergeant Grolj (Jarsath Wastes)
Xalgoz (Karnor's Castle)

Confirmed Locations
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Mobs that drop this item also drop