Dropped by
a Boombottom observer (Runnyeye: The Gathering)
a bottomless gnawer (Charasis: Maiden's Chamber)
a chokidai handler (Sebilis)
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a Gazing Petrifier (Jarsath Wastes)
a Grungetalon guest (Runnyeye: The Gathering)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a Jarsath jibsnapper (Jarsath Wastes)
a mistgoblin shaman (Kunzar Jungle)
a risen sentry (Sebilis)
a Runnyeye host (Runnyeye: The Gathering)
a Sathirian milite (Kunzar Jungle)
a Sathirian revenant (Sebilis)
a tatterback gorilla (Kunzar Jungle)
a tormented dar (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a trained war sokokar (Kunzar Jungle)
a trakaraptor (Kunzar Jungle)
a vile stoneleer (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an agitated rhino (Chardok)
an elder jungle quatcha (Kunzar Jungle)
an iron construct (Kunzar Jungle)
an unfathomable devourer (Charasis: Maiden's Chamber)
Baron Yosig (The Crypt of Agony)
Blacksmith Sathgar (Sebilis)
Doom (Kunzar Jungle)
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)
Praetor of the Phylactery (Charasis: Vault of Eternal Sleep)
Ripcurl (Jarsath Wastes)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)
Warlord Zon'Kir (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop