Dropped by
a Caroeth ridgeguard assassin (Chardok)
a ghastly excretion (Chelsith)
a Gorowyn knight dragoon (Chardok)
a Nak'azar rearguard (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
a Yha-lei enforcer (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
an entombed overseer (Emperor's Athenaeum)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kromikus Di'Zok (Chardok)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Master Arcanist Guroth (Sebilis)
Remnant of Sand (Charasis: Maiden's Chamber)
Silzok Foi'zarth (Chardok)
Uth'Gak the Grand Devotor (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop