Dropped by
a chokidai mongrel (Sebilis)
a clay juggernaut (Sebilis)
a Gorowyn regal knight (Chardok)
a Grungetalon cook (Runnyeye: The Gathering)
a Nak'azar prison guard (Court of Korucust)
a Nak'azar slayer (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler shiv (Runnyeye: The Gathering)
a Yha-lei arbiter (Chelsith)
a Yha-lei defender (Chelsith)
a Yha-lei vindicator (Chelsith)
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)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Megalodon (Jarsath Wastes)
Nihilist Yeegarn (Sebilis)
Queen Velazul Dizok (Chardok)
Silzok Foi'zarth (Chardok)
Stalis Ra'Dal (Chardok)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Warlord Drelikus (Chardok)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop