Dropped by
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a Gorowyn knight sentinel (Chardok)
a hungry boarling (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
a Yha-lei worshipper (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Snok Eyegouger (Runnyeye: The Gathering)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Xenur Rashss (Kunzar Jungle)
Xorxx (Runnyeye: The Gathering)

Confirmed Locations
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Mobs that drop this item also drop