Dropped by
a kunzar scaleripper (Kunzar Jungle)
a Nurgan minedigger (Fens of Nathsar)
a skeletal caretaker (Karnor's Castle)
a Vespid hornet (Kunzar Jungle)
Baron Yosig (The Crypt of Agony)
Benach Aglebar (Ward of Elements)
Bilthor (Nu'roga)
Blood Sucker (Miragul's Phylactery: The Anathema)
Bloodchief Tzabos (Nu'roga)
Crypt Master T'golth (Evernight Abbey)
Digg (Ward of Elements)
Drago (Emperor's Athenaeum)
Gelidus Ventus (Ward of Elements)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
High Shaman Vohan (Runnyeye: The Gathering)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Ra'zhish (Najena's Hollow Tower)
The Codexicon (Miragul's Phylactery: The Crucible)
The Reformed Magolemus (Najena's Hollow Tower)
Thovalakk (Kurn's Tower: Breaching the Void)

Confirmed Locations
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Mobs that drop this item also drop