Dropped by
a chokidai handler (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a Durus scar guardian (Jarsath Wastes)
a Jarsath jibsnapper (Jarsath Wastes)
a nettle spined succulent (Jarsath Wastes)
a risen sentry (Sebilis)
a runewake impaler (Jarsath Wastes)
a sepulchre spirit (Charasis: Vault of Eternal Sleep)
a stinging spined succulent (Jarsath Wastes)
a tatterback gorilla (Kunzar Jungle)
an ambushing grindhoof (Jarsath Wastes)
an iksar insurgent (Jarsath Wastes)
an unearthed soldier (Jarsath Wastes)
Barrelspike (Jarsath Wastes)
dark horror (Jarsath Wastes)
Denmother Yugguh (Moors of Ykesha)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Gorehoof (Jarsath Wastes)
Harbringer Freglor (The Crypt of Agony)
Mate Thugurg (Moors of Ykesha)
Shardak the Silent (Kunzar Jungle)
The Malefic Formation (Chardok)
Ulroth the Protector (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop