Dropped by
a Broken Toe dust mystic (Runnyeye: The Gathering)
A Sebilite Guardian (Sebilis)
a skyshadow drake (Jarsath Wastes)
a temple sentinel (Jarsath Wastes)
a Yha-lei propagator (Chelsith)
an ashfire drake (Jarsath Wastes)
an Ebon Mask attacker (Timorous Deep)
an Enraged Gnasher (Jarsath Wastes)
Ebonmaw (Jarsath Wastes)
Eldrig the Young (Jarsath Wastes)
Kaashanosak the Ancient (Jarsath Wastes)
Kotiz the Death Bringer (Sebilis)
Leviathor'Glamar (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop