Dropped by
a Broken Toe shaman (Runnyeye: The Gathering)
a flammed secernment (Chelsith)
a Gorowyn hierophant (Chardok)
a Grungetalon elite (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler gouger (Runnyeye: The Gathering)
a Sathirian lich (Sebilis)
a Sathirian praetorian (Sebilis)
a Yha-lei enforcer (Chelsith)
a Yha-lei worshipper (Chelsith)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Drusella Sathir (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
High Commander Ziz (Jarsath Wastes)
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'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Nihilist Zeegarn (Sebilis)
Praetorian Captain Nagol (Sebilis)
Uth'Gak the Grand Devotor (Chelsith)
Widow Matron Eilyan (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop