Dropped by
a bottomless feaster (Charasis: Vault of Eternal Sleep)
a chokidai handler (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a dialated retaliator (Runnyeye: The Gathering)
a drachnid widow maiden (Jarsath Wastes)
a Dracurion hoplite (Jarsath Wastes)
a Durus flayer (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a liberated reet wizard (Kunzar Jungle)
a Sathirian centurion (Sebilis)
a sepulchre spectre (Charasis: Vault of Eternal Sleep)
a tatterback gorilla (Kunzar Jungle)
a tormented reet (The Crypt of Agony)
a vicious razorfang (Jarsath Wastes)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an unearthed dragoon (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Denmother Yugguh (Moors of Ykesha)
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)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Warlord Zon'Kir (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop