Dropped by
a Caroeth vanquisher (Chardok)
a clay enforcer (Sebilis)
a ghastly excretion (Chelsith)
a Gorowyn knight sentinel (Chardok)
a Yha-lei vindicator (Chelsith)
a Yha-lei worshipper (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
an imperial golem (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Boarkeeper Malleg (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Nihilist Yeegarn (Sebilis)
Queen Velazul Dizok (Chardok)
The Reet Pickler (Sebilis)
Uth'Gak the Grand Devotor (Chelsith)
Warden Sheezol (Court of Korucust)
Xa'rgo the Cursed (Sebilis)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop