Dropped by
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a murky sludge (Chelsith)
a Sathirian praetorian (Sebilis)
a skyfire wurm (Jarsath Wastes)
a skyshadow drake (Jarsath Wastes)
a Yha-lei defender (Chelsith)
a Yha-lei feeder (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Crystalline Destroyer (Jarsath Wastes)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Gorogon (Chardok)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Kaashanosak the Ancient (Jarsath Wastes)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Memnmamar Marrowgut (Runnyeye: The Gathering)
Mucus of the Deep One (Chelsith)
The Blue Baron (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop