Dropped by
a Caroeth vanquisher (Chardok)
a ghastly excretion (Chelsith)
a Gorowyn regal knight (Chardok)
a Grungetalon advisor (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a Nak'azar executioner (Court of Korucust)
a Sandscrawler cook (Runnyeye: The Gathering)
a Sandscrawler gouger (Runnyeye: The Gathering)
a Sandscrawler petitioner (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
an entrapped soul of Shai'din (Court of Korucust)
an Immortal guardian (Chardok)
Bbal'Gaz the Enthraller (Chelsith)
Burrtoe the Gorged (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Mucus of the Deep One (Chelsith)
Octoravager (Moors of Ykesha)
Queen Velazul Dizok (Chardok)
Stalis Ra'Dal (Chardok)
Uth'Gak the Grand Devotor (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop