Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Maiden's Chamber)
a crypt juggernaut (The Crypt of Agony)
a grime crawler (Chardok)
a pyre golem (Charasis: Vault of Eternal Sleep)
a risen froglok (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian officer (Sebilis)
a Sathirian spiritist (Sebilis)
a spurbone skeleton (Kunzar Jungle)
a stinging spined succulent (Jarsath Wastes)
a tatterback gorilla (Kunzar Jungle)
a tormented bok (The Crypt of Agony)
a tormented ilis (The Crypt of Agony)
a Torsis spectre (Kunzar Jungle)
a trakanasaur (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an undertaker supplicant (Charasis: Vault of Eternal Sleep)
an unearthed sentry (Jarsath Wastes)
an unfathomable feaster (Charasis: Maiden's Chamber)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Denmother Yugguh (Moors of Ykesha)
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)
Igoo (Kunzar Jungle)
Librarian Zimor (The Crypt of Agony)
Razorbeak (Moors of Ykesha)
Shardak the Silent (Kunzar Jungle)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Reservoir Defender (Chardok)
Warlord Shrez'Nid (Chardok)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop