Dropped by
a crypt guardian (Sebilis)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a flammed secernment (Chelsith)
a gnawing devourer (Jarsath Wastes)
a Gorowyn knight dragoon (Chardok)
a Gorowyn scepter (Chardok)
a Grungetalon elite (Runnyeye: The Gathering)
a hungry boarling (Runnyeye: The Gathering)
a Yha-lei sentinel (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Kaashanosak the Ancient (Jarsath Wastes)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
myconid dweller (Sebilis)
Myconid Spore King (Sebilis)
Uth'Gak the Grand Devotor (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop