Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a chokidai mongrel (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a Durus scar guardian (Jarsath Wastes)
a jungle quatcha (Kunzar Jungle)
a mistgoblin shaman (Kunzar Jungle)
a risen froglok (Sebilis)
a risen sentry (Sebilis)
a Runnyeye guard (Runnyeye: The Gathering)
a tormented ilis (The Crypt of Agony)
a volcanic leatherback (Jarsath Wastes)
a Yha-lei patroller (Jarsath Wastes)
an aggressive grindhoof (Jarsath Wastes)
an agitated protector (The Crypt of Agony)
an ancient inhabitant (Jarsath Wastes)
an old quatcha patriarch (Kunzar Jungle)
Gorehoof (Jarsath Wastes)
Harbringer Freglor (The Crypt of Agony)
Igoo (Kunzar Jungle)
Mate Thugurg (Moors of Ykesha)
Ulroth the Protector (Jarsath Wastes)
Void Tempest (Jarsath Wastes)
Warlord Zon'Kir (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop