Dropped by
a chokidai handler (Sebilis)
a gathering skorpikis (Emperor's Athenaeum)
a Gorowyn regal knight (Chardok)
a nightblood slave (Kunzar Jungle)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian arch lich (Sebilis)
A Sebilite Guardian (Sebilis)
a vampire (Castle Mistmoore)
a Yha-lei vindicator (Chelsith)
a Yha-lei worshipper (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
First Lieutenant Rixol (Sebilis)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gorogon (Chardok)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Tentar (Chelsith)
Master Arcanist Guroth (Sebilis)
Queen Velazul Dizok (Chardok)
Scarscale the Ravager (Jarsath Wastes)
Snok Eyegouger (Runnyeye: The Gathering)
The Blue Baron (Chelsith)
Warlord Hir'roul (Chardok)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop