Dropped by
a bottomless feaster (Charasis: Maiden's Chamber)
a chokidai pup (Sebilis)
a crypt juggernaut (The Crypt of Agony)
a forgotten phantasm (Jarsath Wastes)
a grime crawler (Chardok)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a jungle quatcha (Kunzar Jungle)
a nightmarish vision (Charasis: Vault of Eternal Sleep)
a pyre golem (Charasis: Vault of Eternal Sleep)
a risen sentry (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian revenant (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a tatterback gorilla (Kunzar Jungle)
a tormented bok (The Crypt of Agony)
a tormented dar (The Crypt of Agony)
a tormented ilis (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
an agitated corpse (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an iksar insurgent (Jarsath Wastes)
an unfathomable feaster (Charasis: Maiden's Chamber)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
dark horror (Jarsath Wastes)
Denmother Yugguh (Moors of Ykesha)
fourth key guardian (Kunzar Jungle)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Gorehoof (Jarsath Wastes)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Librarian Zimor (The Crypt of Agony)
Petty Officer Vyile (Moors of Ykesha)
Runnyeye defender (Runnyeye: The Gathering)
Siege Warden Darnan (Jarsath Wastes)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Reservoir Defender (Chardok)

Confirmed Locations
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Mobs that drop this item also drop