Dropped by
a chokidai handler (Sebilis)
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt skullcrusher (The Crypt of Agony)
a Dracurion hoplite elite (Jarsath Wastes)
a dreaded stonegazer (Jarsath Wastes)
a foreman (Sebilis)
a gnashing devourer (Jarsath Wastes)
a nightmarish vision (Charasis: Vault of Eternal Sleep)
a risen froglok (Sebilis)
a Sathirian centurion (Sebilis)
a skyfire drake (Jarsath Wastes)
a tormented bok (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a Torsis spectre (Kunzar Jungle)
a trakanasaur (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an unearthed dragoon (Jarsath Wastes)
Barrelspike (Jarsath Wastes)
Harbringer Freglor (The Crypt of Agony)
Irefang (Jarsath Wastes)
Lord Ghiosk (Kunzar Jungle)
Snappyjaw (Moors of Ykesha)
The Great Rustyback (Moors of Ykesha)
Warlord Zon'Kir (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop