Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless feaster (Charasis: Maiden's Chamber)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a cursed traitor (Sebilis)
a massive juggernaut (Kunzar Jungle)
a Sathirian gravelord (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a Sathirian spiritist (Sebilis)
a tormented krup (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a vile stoneleer (Jarsath Wastes)
a Yha-lei marauder (Fens of Nathsar)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an entranced guardian (Charasis: Vault of Eternal Sleep)
Arch Duke Latol (The Crypt of Agony)
Doom (Kunzar Jungle)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Gregor Thunderfist (Fens of Nathsar)
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)
Stoneneb (Kunzar Jungle)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)
Wildhorn the Rampager (Chardok)

Confirmed Locations
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Mobs that drop this item also drop