Dropped by
a chokidai handler (Sebilis)
a crypt juggernaut (The Crypt of Agony)
a Nuknok screamer (Moors of Ykesha)
a Rime hydrolated battler (Jarsath Wastes)
a risen brittlebone (Kunzar Jungle)
a Sathirian gravelord (Sebilis)
a Sathirian patron (Sebilis)
a sepulchre spirit (Charasis: Vault of Eternal Sleep)
a Thalz'Iz'Zaz monk (Moors of Ykesha)
a trakaraptor (Kunzar Jungle)
an aggressive grindhoof (Jarsath Wastes)
an elder jungle quatcha (Kunzar Jungle)
an unearthed dragoon (Jarsath Wastes)
an unearthed soldier (Jarsath Wastes)
Baron Yosig (The Crypt of Agony)
Benach Aglebar (Ward of Elements)
Blood Sucker (Miragul's Phylactery: The Anathema)
Chaotic Manipulation (Miragul's Phylactery: Scion of Ice)
Cruhm the Overseer (The Deep Forge)
Digg (Ward of Elements)
Drusella Sathir (Charasis: Maiden's Chamber)
Firelord Kaern (The Deep Forge)
Gelidus Ventus (Ward of Elements)
Ilenee's Despair (Kurn's Tower)
Imperator Ignus (Ward of Elements)
Jailor Ca'iluer (Najena's Hollow Tower)
Khost Alur (Ward of Elements)
Majora Leviathora (Chelsith)
Primogen Daishirou (Mistmyr Manor)
Reverie (Miragul's Phylactery: Scion of Ice)
Sibia the Steward (Mistmyr Manor)
Sslatch (Emperor's Athenaeum)
The Codexicon (Miragul's Phylactery: The Crucible)
The Doomsmith (The Deep Forge)
Vauth the Suffragan (Befallen: Necrotic Asylum)
voracious stone gnawer (Moors of Ykesha)

Confirmed Locations
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Mobs that drop this item also drop