Dropped by
a chokidai mongrel (Sebilis)
a Gorowyn knight dragoon (Chardok)
a Gorowyn knight sentinel (Chardok)
a hungry boarling (Runnyeye: The Gathering)
a Sandscrawler ruffian (Runnyeye: The Gathering)
a Sathirian praetorian (Sebilis)
a skyfire wurm (Jarsath Wastes)
a Yha-lei arbiter (Chelsith)
a Yha-lei sentinel (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
Bbal'Gaz the Enthraller (Chelsith)
Boarkeeper Malleg (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Dominus Atrebe (Kylong Plains)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Mucus of the Deep One (Chelsith)
Nihilist Zeegarn (Sebilis)
Queen Imayaruk (Jarsath Wastes)
Scarscale the Ravager (Jarsath Wastes)
Stalis Ra'Dal (Chardok)
Uth'Gak the Grand Devotor (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop