Dropped by
a Broken Toe backbiter (Runnyeye: The Gathering)
a devoted Yha-lei sectary (Chelsith)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a ghastly excretion (Chelsith)
a Gorowyn hierophant (Chardok)
a Gorowyn knight sentinel (Chardok)
a Grungetalon advisor (Runnyeye: The Gathering)
a Grungetalon cook (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a Runnyeye concierge (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler shiv (Runnyeye: The Gathering)
a Sathirian oracle (Sebilis)
a sleepy boarling (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
a Yha-lei propagator (Chelsith)
a Yha-lei sentinel (Chelsith)
Bbal'Gaz the Enthraller (Chelsith)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Gorogon (Chardok)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Leviathor'Consuma (Chelsith)
Leviathor'Tentar (Chelsith)
Master Arcanist Guroth (Sebilis)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Stalis Ra'Dal (Chardok)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop