Dropped by
a drolvarg guardian (Karnor's Castle)
a Kromdek stonelord (Fens of Nathsar)
a Krupp liberation leader (Fens of Nathsar)
a kunzar scaleripper (Kunzar Jungle)
a reanimated burynai behemoth (Kurn's Tower)
a skeletal caretaker (Karnor's Castle)
a venom flow leech (Kunzar Jungle)
an emerald stonegazer (Kunzar Jungle)
an erollisi mantrap (Kunzar Jungle)
Arch-bishop Joltan (Befallen: Halls of the Forsaken)
Blood Sucker (Miragul's Phylactery: The Anathema)
Boarkeeper Malleg (Runnyeye: The Gathering)
Dayakara (Ward of Elements)
Dread Exarch Mordek (Befallen: Necrotic Asylum)
Fitzfangle (Najena's Hollow Tower)
Gelidus Ventus (Ward of Elements)
Hierophant Prime Grekal (The Crypt of Agony)
Jailor Ca'iluer (Najena's Hollow Tower)
Jennre Warsinger (Kurn's Tower: Breaching the Void)
Khost Alur (Ward of Elements)
Lord Sasil (Veksar: The Sunken Theater)
Magus Vein'ca (Anchor of Bazzul)
Nightfall (Emperor's Athenaeum)
Sibia the Steward (Mistmyr Manor)
Slamhammer (Runnyeye: The Gathering)
The Bonegrinder (Befallen: Cavern of the Afflicted)
The Doomsmith (The Deep Forge)
The Reformed Magolemus (Najena's Hollow Tower)
Thovalakk (Kurn's Tower: Breaching the Void)
Xorxx (Runnyeye: The Gathering)
Yynzik the Scornridden (Kurn's Tower: Breaching the Void)

Confirmed Locations
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Mobs that drop this item also drop