Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Maiden's Chamber)
a chokidai pup (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a cursed traitor (Sebilis)
a deadly razorfang (Jarsath Wastes)
a deadly stoneglint (Jarsath Wastes)
a desert crawler (Runnyeye: The Gathering)
a Durus decapitator (Jarsath Wastes)
a Durus scar guardian (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a mistgoblin warrior (Kunzar Jungle)
a pyre golem (Charasis: Vault of Eternal Sleep)
a risen sentry (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian heretic (Sebilis)
a Sathirian revenant (Sebilis)
a sepulchre skeleton (Charasis: Vault of Eternal Sleep)
a skyfire drake (Jarsath Wastes)
a tormented dar (The Crypt of Agony)
a torpid guardian (Charasis: Vault of Eternal Sleep)
a trakanasaur (Kunzar Jungle)
a vile stoneleer (Jarsath Wastes)
a Yha-lei patroller (Jarsath Wastes)
an aggressive grindhoof (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an iron construct (Kunzar Jungle)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Denmother Yugguh (Moors of Ykesha)
Gorehoof (Jarsath Wastes)
Grand Inquisitor Zeeir (Sebilis)
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)
Librarian Zimor (The Crypt of Agony)
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