Dropped by
a Broken Toe shaman (Runnyeye: The Gathering)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a ghastly excretion (Chelsith)
a hungry boarling (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian lich (Sebilis)
a Sathirian praetorian (Sebilis)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
an imperial construct (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Master Arcanist Guroth (Sebilis)
Mucus of the Deep One (Chelsith)
Queen Imayaruk (Jarsath Wastes)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Warlord Drelikus (Chardok)

Confirmed Locations
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Mobs that drop this item also drop