Dropped by
a bottomless gnawer (Charasis: Vault of Eternal Sleep)
a charging grindhoof (Jarsath Wastes)
a crypt defender (Charasis: Vault of Eternal Sleep)
a cursed traitor (Sebilis)
a forsaken vision (Jarsath Wastes)
a nettle spined succulent (Jarsath Wastes)
a reanimated burynai behemoth (Kurn's Tower)
Bricktop (Nu'roga)
Dayakara (Ward of Elements)
Digg (Ward of Elements)
Dmeng Bah'Dash (Veksar: The Invasion)
Imperator Ignus (Ward of Elements)
Lord Marcus Thex (Evernight Abbey)
Plague-ridden Crawler Queen (Befallen: Cavern of the Afflicted)
Slamhammer (Runnyeye: The Gathering)
Sslatch (Emperor's Athenaeum)
The Codexicon (Miragul's Phylactery: The Crucible)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
Ykeshan froglok (Moors of Ykesha)
Yynzik the Scornridden (Kurn's Tower: Breaching the Void)

Confirmed Locations
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Mobs that drop this item also drop