Dropped by
a boneclaw pincher (Fens of Nathsar)
a Bonedigger baublefinder (Fens of Nathsar)
a bonesplint piercer (Fens of Nathsar)
a kunzar scaleshredder (Kunzar Jungle)
a risen sentry (Sebilis)
a Rubble-rabble burrower (Kunzar Jungle)
a trained war sokokar (Kunzar Jungle)
an eternal maul (Ward of Elements)
an ice-dazed iksar villager (Kunzar Jungle)
An Undead Jailer (Karnor's Castle)
Atrocious Amalgam (Miragul's Phylactery: The Anathema)
Blood Sucker (Miragul's Phylactery: The Anathema)
Commander Drisk (Fens of Nathsar)
Cruhm the Overseer (The Deep Forge)
Di'zsho the Channeler (Anchor of Bazzul)
Evils Grumblepaws (Fens of Nathsar)
Gelidus Ventus (Ward of Elements)
Gorscha Gahh (The Ruins of Guk: The Lower Corridors)
Imperator Ignus (Ward of Elements)
Khost Alur (Ward of Elements)
Lord Marcus Thex (Evernight Abbey)
Lord Sasil (Veksar: The Sunken Theater)
Magus Vein'ca (Anchor of Bazzul)
Master of the Embalmers (Emperor's Athenaeum)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Squallic Destroyer (Veksar: The Invasion)
Sslatch (Emperor's Athenaeum)
The Eidolon of Depravity (Befallen: Halls of the Forsaken)
Xorlac the Cleanser (Miragul's Phylactery: The Crucible)

Confirmed Locations
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Mobs that drop this item also drop