Dropped by
a Broken Toe shaman (Runnyeye: The Gathering)
a Caroeth ridgeguard assassin (Chardok)
a chokidai mongrel (Sebilis)
a flammed secernment (Chelsith)
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a ghastly excretion (Chelsith)
a Gorowyn regal knight (Chardok)
a Gorowyn scepter (Chardok)
a Grungetalon clincher (Runnyeye: The Gathering)
a Nak'azar prison guard (Court of Korucust)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian legionnaire (Sebilis)
a sokokar thrasher (Chardok)
a stalwart Yha-lei champion (Chelsith)
a Yha-lei defender (Chelsith)
a Yha-lei enforcer (Chelsith)
a Yha-lei sentinel (Chelsith)
an imprisoned soul of Shai'din (Court of Korucust)
Bbal'Gaz the Enthraller (Chelsith)
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)
High Ambassador Guralz (Sebilis)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Kaashanosak the Ancient (Jarsath Wastes)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Mucus of the Deep One (Chelsith)
Queen Velazul Dizok (Chardok)

Confirmed Locations
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Mobs that drop this item also drop