Dropped by
a Broken Toe backbiter (Runnyeye: The Gathering)
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler cook (Runnyeye: The Gathering)
a Sandscrawler gritwitch (Runnyeye: The Gathering)
a skyfire wurm (Jarsath Wastes)
a Yha-lei sentinel (Chelsith)
an ashfire drake (Jarsath Wastes)
an Immortal guardian (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Tentar (Chelsith)
Mucus of the Deep One (Chelsith)
Nihilist Yeegarn (Sebilis)
Remnant of Sand (Charasis: Maiden's Chamber)
The Blue Baron (Chelsith)
Warden Sheezol (Court of Korucust)

Confirmed Locations
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Mobs that drop this item also drop