Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a grime crawler (Chardok)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a mistgoblin shaman (Kunzar Jungle)
a nettle spined succulent (Jarsath Wastes)
a risen sentry (Sebilis)
a Runnyeye host (Runnyeye: The Gathering)
a Sathirian gravelord (Sebilis)
a sepulchre spirit (Charasis: Vault of Eternal Sleep)
a tormented bok (The Crypt of Agony)
a tormented dar (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a trained war sokokar (Kunzar Jungle)
a volcanic leatherback (Jarsath Wastes)
a Yha-lei patroller (Jarsath Wastes)
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)
Franchiser Grixxer (Sebilis)
Grand Inquisitor Zeeir (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)
Lord Vizaroth (The Crypt of Agony)
Praetor of the Phylactery (Charasis: Vault of Eternal Sleep)
Ra'Tsinis (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Tralb the Mystic (Kunzar Jungle)
Warlord Zon'Kir (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop