Dropped by
a Broken Toe backbiter (Runnyeye: The Gathering)
a doctile Yha-lei servitor (Chelsith)
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a hungry boarling (Runnyeye: The Gathering)
a Nak'azar prison guard (Court of Korucust)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian praetorian (Sebilis)
a Yha-lei sentinel (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Chieftain Siltsea (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Mucus of the Deep One (Chelsith)
Nihilist Yeegarn (Sebilis)
Queen Imayaruk (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
The Blue Baron (Chelsith)
Wrothflame (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop