Dropped by
a Broken Toe scrapper (Runnyeye: The Gathering)
a chokidai mongrel (Sebilis)
a devouring Yha-lei leech (Chelsith)
a drachnid widow guard (Jarsath Wastes)
a ghastly excretion (Chelsith)
a Gorowyn knight dragoon (Chardok)
a Gorowyn knight sentinel (Chardok)
a hungry boarling (Runnyeye: The Gathering)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a Nak'azar myrmidon (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler ruffian (Runnyeye: The Gathering)
a skyfire wurm (Jarsath Wastes)
a Villisis dweller (Chardok)
a Yha-lei sentinel (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Tentar (Chelsith)
Mucus of the Deep One (Chelsith)
Nortalz Di'Zok (Chardok)
Qumus the Ominous (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
Snok Eyegouger (Runnyeye: The Gathering)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop