Dropped by
a chokidai handler (Sebilis)
a crypt juggernaut (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a forsaken vision (Jarsath Wastes)
a mistgoblin scout (Kunzar Jungle)
a pyre golem (Charasis: Vault of Eternal Sleep)
a risen brittlebone (Kunzar Jungle)
a risen sentry (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a skyfire wurm (Jarsath Wastes)
a terrorspine shark (Jarsath Wastes)
a tormented bok (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a Torsis phantom (Kunzar Jungle)
a Torsis spectre (Kunzar Jungle)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Gorehoof (Jarsath Wastes)
Gregor Thunderfist (Fens of Nathsar)
Hierophant Prime Grekal (The Crypt of Agony)
Igoo (Kunzar Jungle)
Krayark the Wild (Kunzar Jungle)
Mate Thugurg (Moors of Ykesha)
Ripcurl (Jarsath Wastes)
The Great Rustyback (Moors of Ykesha)
Ulroth the Protector (Jarsath Wastes)
Warlord Zon'Kir (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)
Witchdoctor Hazar (Kunzar Jungle)

Confirmed Locations
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Mobs that drop this item also drop