Dropped by
a crypt guardian (Sebilis)
a Gorowyn knight sentinel (Chardok)
a Grungetalon blesser (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Yha-lei arbiter (Chelsith)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
Bbal'Gaz the Enthraller (Chelsith)
Burrtoe the Gorged (Runnyeye: The Gathering)
Chieftain Kanar (Runnyeye: The Gathering)
Ebonmaw (Jarsath Wastes)
Eldrig the Young (Jarsath Wastes)
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)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Memnmamar Marrowgut (Runnyeye: The Gathering)
Uth'Gak the Grand Devotor (Chelsith)
Wrothflame (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop