Dropped by
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a Nak'azar prison guard (Court of Korucust)
a Runnyeye elite (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
an athenaeum protector (Emperor's Athenaeum)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Morticus Belaern (Kylong Plains)
Mucus of the Deep One (Chelsith)
Scarscale the Ravager (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
Uth'Gak the Grand Devotor (Chelsith)
Warden Sheezol (Court of Korucust)
Warlord Drelikus (Chardok)
Xorxx (Runnyeye: The Gathering)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop