Dropped by
a Broken Toe scrapper (Runnyeye: The Gathering)
a gathering skorpikis (Emperor's Athenaeum)
a gnawing devourer (Jarsath Wastes)
a Runnyeye elite (Runnyeye: The Gathering)
a temple sentinel (Jarsath Wastes)
an ashfire drake (Jarsath Wastes)
an Enraged Gnasher (Jarsath Wastes)
an imprisoned soul of Shai'din (Court of Korucust)
Crystalline Destroyer (Jarsath Wastes)
High Commander Ziz (Jarsath Wastes)
Leviathor'Consuma (Chelsith)
Sandstorm (Charasis: Maiden's Chamber)
Slamhammer (Runnyeye: The Gathering)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop