Dropped by
a Bathezid dragoon (Chardok)
a Boombottom observer (Runnyeye: The Gathering)
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Vault of Eternal Sleep)
a chokidai handler (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a Dracurion hoplite (Jarsath Wastes)
a Dracurion warder (Jarsath Wastes)
a Durus scar guardian (Jarsath Wastes)
a forgotten phantasm (Jarsath Wastes)
a Gazing Petrifier (Jarsath Wastes)
a nightmarish vision (Charasis: Vault of Eternal Sleep)
a Sandscrawler guest (Runnyeye: The Gathering)
a tormented dar (The Crypt of Agony)
a tormented ilis (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a Torsis spectre (Kunzar Jungle)
a trakanasaur (Kunzar Jungle)
a vile stoneleer (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an unearthed dragoon (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Caretaker Murgox (Moors of Ykesha)
Doom (Kunzar Jungle)
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)
Nightclaw (Kunzar Jungle)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop