Dropped by
a clay juggernaut (Sebilis)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a Grungetalon blesser (Runnyeye: The Gathering)
a temple sentinel (Jarsath Wastes)
a Yha-lei enforcer (Chelsith)
a Yha-lei propagator (Chelsith)
a Yha-lei sentinel (Chelsith)
an enslaved blacksmith (Runnyeye: The Gathering)
an entombed spirit (Emperor's Athenaeum)
an entrapped soul of Shai'din (Court of Korucust)
an Immortal guardian (Chardok)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Memnmamar Marrowgut (Runnyeye: The Gathering)
Queen Imayaruk (Jarsath Wastes)
Queen Velazul Dizok (Chardok)
Uth'Gak the Grand Devotor (Chelsith)
Warlord Drelikus (Chardok)
Widow Matron Eilyan (Jarsath Wastes)
Wrothflame (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop