Dropped by
a bottomless feaster (Charasis: Vault of Eternal Sleep)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a Gazing Petrifier (Jarsath Wastes)
a Grungetalon guest (Runnyeye: The Gathering)
a haunting spectre (Charasis: Vault of Eternal Sleep)
a prickly spined succulent (Jarsath Wastes)
a pyre golem (Charasis: Vault of Eternal Sleep)
a reet busboy (Sebilis)
a risen sentry (Sebilis)
a rival plunderer (Kunzar Jungle)
a Sathirian sentry (Charasis: Maiden's Chamber)
a tatterback gorilla (Kunzar Jungle)
a tormented dar (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a Torsis phantom (Kunzar Jungle)
a Yha-lei netman (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an unearthed sentry (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Blacksmith Sathgar (Sebilis)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Librarian Zimor (The Crypt of Agony)
Pharynx (Jarsath Wastes)
Snappyjaw (Moors of Ykesha)
The Great Rustyback (Moors of Ykesha)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)
Wildhorn the Rampager (Chardok)

Confirmed Locations
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Mobs that drop this item also drop