Dropped by
a Broken Toe backbiter (Runnyeye: The Gathering)
a chokidai alpha (Sebilis)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a Grungetalon cook (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian legionnaire (Sebilis)
a Yha-lei defender (Chelsith)
a Yha-lei enforcer (Chelsith)
a Yha-lei feeder (Chelsith)
a Yha-lei propagator (Chelsith)
a Yha-lei sentinel (Chelsith)
an enslaved blacksmith (Runnyeye: The Gathering)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Crystalline Destroyer (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kromikus Di'Zok (Chardok)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Queen Imayaruk (Jarsath Wastes)
Queen Velazul Dizok (Chardok)
Slamhammer (Runnyeye: The Gathering)
Stalis Ra'Dal (Chardok)
Uth'Gak the Grand Devotor (Chelsith)
Warlord Hir'roul (Chardok)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop