Dropped by
a crypt enforcer (The Crypt of Agony)
a jungle quatcha (Kunzar Jungle)
a kunzar scaleshredder (Kunzar Jungle)
a mistgoblin scout (Kunzar Jungle)
a mistgoblin shaman (Kunzar Jungle)
a risen sentry (Sebilis)
a ruin crawler (Moors of Ykesha)
a trained war sokokar (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an Ancient Void-Touched Wumpus (Kurn's Tower: Breaching the Void)
an elite shardhammer (Kunzar Jungle)
Arch-bishop Joltan (Befallen: Halls of the Forsaken)
Captain Hamyr (Befallen: Necrotic Asylum)
Coagulation of Flesh and Evil (Befallen: Necrotic Asylum)
Digg (Ward of Elements)
Khost Alur (Ward of Elements)
Primogen Daishirou (Mistmyr Manor)
Shade of Miragul (Miragul's Phylactery: Scion of Ice)
Sslatch (Emperor's Athenaeum)
The Doomsmith (The Deep Forge)
The Eidolon of Depravity (Befallen: Halls of the Forsaken)
The Master (Miragul's Phylactery: The Crucible)
voracious stone gnawer (Moors of Ykesha)

Confirmed Locations
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Mobs that drop this item also drop