Dropped by
a Gorowyn high priest (Chardok)
a Gorowyn knight sentinel (Chardok)
a mist grinnin petitioner (Runnyeye: The Gathering)
a Nak'azar prison guard (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian praetorian (Sebilis)
a Yha-lei defender (Chelsith)
a Yha-lei feeder (Chelsith)
a Yha-lei sentinel (Chelsith)
an imperial golem (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Nihilist Yeegarn (Sebilis)
Scarscale the Ravager (Jarsath Wastes)
Stalis Ra'Dal (Chardok)
The Blue Baron (Chelsith)
Warden Sheezol (Court of Korucust)

Confirmed Locations
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Mobs that drop this item also drop