Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Maiden's Chamber)
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a mistgoblin shaman (Kunzar Jungle)
a risen sentry (Sebilis)
a Runnyeye guard (Runnyeye: The Gathering)
a Sathirian dreadmage (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian officer (Sebilis)
a spectral protector (Karnor's Castle)
a spurbone skeleton (Kunzar Jungle)
a tormented bok (The Crypt of Agony)
a tormented dar (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a Torsis spectre (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an elder jungle quatcha (Kunzar Jungle)
an iron construct (Kunzar Jungle)
an undertaker supplicant (Charasis: Vault of Eternal Sleep)
Arch Duke Latol (The Crypt of Agony)
Denmother Yugguh (Moors of Ykesha)
Doom (Kunzar Jungle)
Gregor Thunderfist (Fens of Nathsar)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Librarian Zimor (The Crypt of Agony)
Quartermaster Shylav (Sebilis)
Runnyeye defender (Runnyeye: The Gathering)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Sebilite Sentinel (Kunzar Jungle)
Ulroth the Protector (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop