Dropped by
a bottomless feaster (Charasis: Vault of Eternal Sleep)
a bottomless gnawer (Charasis: Maiden's Chamber)
a chokidai pup (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a cursed traitor (Sebilis)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a nightmarish vision (Charasis: Vault of Eternal Sleep)
a pyre golem (Charasis: Vault of Eternal Sleep)
a risen sentry (Sebilis)
a Sathirian sentry (Charasis: Maiden's Chamber)
a skyfire wurm (Jarsath Wastes)
a tormented dar (The Crypt of Agony)
a tormented ilis (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a trakaraptor (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (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)
Lord Vizaroth (The Crypt of Agony)
Ra'Tsinis (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Reservoir Defender (Chardok)
Warlord Shrez'Nid (Chardok)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop