Dropped by
a Broken Toe scrapper (Runnyeye: The Gathering)
a devouring Yha-lei leech (Chelsith)
a Grungetalon clincher (Runnyeye: The Gathering)
a Grungetalon gouger (Runnyeye: The Gathering)
a mist grinnin petitioner (Runnyeye: The Gathering)
a Sandscrawler shiv (Runnyeye: The Gathering)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Boarkeeper Malleg (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Dominus Ganak (Kunzar Jungle)
Gear of the Ancients (Charasis: Maiden's Chamber)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Nihilist Yeegarn (Sebilis)
Queen Velazul Dizok (Chardok)
The Blue Baron (Chelsith)
Warden Sheezol (Court of Korucust)

Confirmed Locations
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Mobs that drop this item also drop