Dropped by
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a Sandscrawler gritwitch (Runnyeye: The Gathering)
a skyfire drake (Jarsath Wastes)
a temple sentinel (Jarsath Wastes)
Crystalline Destroyer (Jarsath Wastes)
Eldrig the Young (Jarsath Wastes)
High Commander Ziz (Jarsath Wastes)
Leviathor'Consuma (Chelsith)
Memnmamar Marrowgut (Runnyeye: The Gathering)
Queen Imayaruk (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop