Dropped by
a Bathezid outrider (Fens of Nathsar)
a blighting nightswift (Evernight Abbey)
a drolvarg guardian (Karnor's Castle)
a no-hope needletail (Fens of Nathsar)
a Yha-lei explorer (Fens of Nathsar)
Aimedaca (Miragul's Phylactery: The Crucible)
an elite shardhammer (Fens of Nathsar)
an invading shardhammer (Fens of Nathsar)
Benach Aglebar (Ward of Elements)
Bricktop (Nu'roga)
Chaotic Manipulation (Miragul's Phylactery: Scion of Ice)
Firelord Kaern (The Deep Forge)
Fitzfangle (Najena's Hollow Tower)
Gear of the Ancients (Charasis: Maiden's Chamber)
Lord Marcus Thex (Evernight Abbey)
Master of the Embalmers (Emperor's Athenaeum)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Plague-ridden Crawler Queen (Befallen: Cavern of the Afflicted)
Silzok Foi'zarth (Chardok)
Sir Rouland (Kurn's Tower)
Taskmaster Kulrak (Sebilis)
The Eidolon of Depravity (Befallen: Halls of the Forsaken)
The Reformed Magolemus (Najena's Hollow Tower)
Wilhelm Horrorbile (Befallen: Necrotic Asylum)
Yynzik the Scornridden (Kurn's Tower: Breaching the Void)

Confirmed Locations
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Mobs that drop this item also drop