Dropped by
a Boombottom patron (Runnyeye: The Gathering)
a bottomless devourer (Charasis: Maiden's Chamber)
a chokidai pup (Sebilis)
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt juggernaut (The Crypt of Agony)
a cursed traitor (Sebilis)
a desert crawler (Runnyeye: The Gathering)
a Dracurion hoplite (Jarsath Wastes)
a helot spectre (Charasis: Vault of Eternal Sleep)
a mist grinnin savage (Runnyeye: The Gathering)
a Sathirian spiritist (Sebilis)
a Sathirian student (Sebilis)
a tormented dar (The Crypt of Agony)
a tormented ilis (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
a trakaraptor (Kunzar Jungle)
a vicious Vespid cosm-caller (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Grand Master Sathaz (Sebilis)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Librarian Zimor (The Crypt of Agony)
Taskmaster Kulrak (Sebilis)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)

Confirmed Locations
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Mobs that drop this item also drop