Dropped by
a Broken Toe backbiter (Runnyeye: The Gathering)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a Gorowyn palace adjutant (Chardok)
a tormented soul (Sebilis)
a Yha-lei sentinel (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Mucus of the Deep One (Chelsith)
Remkit (Sebilis)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Widow Matron Eilyan (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop