Dropped by
a bottomless feaster (Charasis: Maiden's Chamber)
a disturbed cadaver (Befallen: Cavern of the Afflicted)
a Drogan soldier (Nu'roga)
a fallen troll warrior (Obelisk of Ahkzul)
a reanimated burynai behemoth (Kurn's Tower)
a runewake impaler (Jarsath Wastes)
a Void lamia (Obelisk of Ahkzul)
a Yha-lei patroller (Jarsath Wastes)
an abyssal sentinel (Obelisk of Ahkzul)
an eternal maul (Ward of Elements)
Aruze Vleese (The Ruins of Guk: The Lower Corridors)
Benach Aglebar (Ward of Elements)
Burrtoe the Gorged (Runnyeye: The Gathering)
Crusader of Rok Nilok (Nu'roga)
Dayakara (Ward of Elements)
Digg (Ward of Elements)
Executor Vark (Obelisk of Ahkzul)
Firelord Kaern (The Deep Forge)
Fitzfangle (Najena's Hollow Tower)
Garudon (Veksar: The Sunken Theater)
Gelidus Ventus (Ward of Elements)
High Shaman Vohan (Runnyeye: The Gathering)
Imperator Ignus (Ward of Elements)
Khost Alur (Ward of Elements)
Kierax the Energy Wielder (Obelisk of Ahkzul)
Lord Marcus Thex (Evernight Abbey)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Plague-ridden Crawler Queen (Befallen: Cavern of the Afflicted)
Primogen Daishirou (Mistmyr Manor)
Shade of Miragul (Miragul's Phylactery: Scion of Ice)
Sir Rouland (Kurn's Tower)
Sslatch (Emperor's Athenaeum)
T'Lon the Powermonger (Ravenscale Repository)
The Codexicon (Miragul's Phylactery: The Crucible)
The Eidolon of Depravity (Befallen: Halls of the Forsaken)
The Reformed Magolemus (Najena's Hollow Tower)
The Reservoir Defender (Chardok)
Tuz'Rak (Nu'roga)

Confirmed Locations
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Mobs that drop this item also drop