Dropped by
a chokidai handler (Sebilis)
a gathering skorpikis (Emperor's Athenaeum)
a Gorowyn knight sentinel (Chardok)
a Grungetalon advisor (Runnyeye: The Gathering)
a Grungetalon blesser (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a Grungetalon gouger (Runnyeye: The Gathering)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a Nak'azar rearguard (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler patcher (Runnyeye: The Gathering)
a Sathirian legionnaire (Sebilis)
a Villisis dweller (Chardok)
a Yha-lei defender (Chelsith)
a Yha-lei enforcer (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Lharnc the Envious (Kunzar Jungle)
Megalodon (Jarsath Wastes)
Memnmamar Marrowgut (Runnyeye: The Gathering)
Mucus of the Deep One (Chelsith)
Scarscale the Ravager (Jarsath Wastes)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Widow Matron Eilyan (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop