Dropped by
a dialated retaliator (Runnyeye: The Gathering)
a Dracurion hoplite (Jarsath Wastes)
a jungle quatcha (Kunzar Jungle)
a risen brittlebone (Kunzar Jungle)
a risen froglok (Sebilis)
a risen sentry (Sebilis)
a runewake impaler (Jarsath Wastes)
a Sathirian archon (Sebilis)
a tatterback gorilla (Kunzar Jungle)
a vicious Vespid cosm-caller (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an iron construct (Kunzar Jungle)
an unfathomable devourer (Charasis: Maiden's Chamber)
Barrelspike (Jarsath Wastes)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Gorehoof (Jarsath Wastes)
Harbringer Freglor (The Crypt of Agony)
Igoo (Kunzar Jungle)
Ulroth the Protector (Jarsath Wastes)
Warlord Zon'Kir (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop