Dropped by
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a Nurgan raider (Runnyeye: The Gathering)
a Sathirian legionnaire (Sebilis)
a Villisis dweller (Chardok)
a Yha-lei sentinel (Chelsith)
a Yha-lei worshipper (Chelsith)
an Immortal guardian (Chardok)
an imprisoned soul of Shai'din (Court of Korucust)
Crystalline Destroyer (Jarsath Wastes)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Eldrig the Young (Jarsath Wastes)
First Lieutenant Rixol (Sebilis)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Kaashanosak the Ancient (Jarsath Wastes)
Korucust (Court of Korucust)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Scarscale the Ravager (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
Uth'Gak the Grand Devotor (Chelsith)
Warlord Hir'roul (Chardok)
Widow Matron Eilyan (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop