Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless feaster (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 crypt skullcrusher (The Crypt of Agony)
a deadly razorfang (Jarsath Wastes)
a drachnid widow guard (Jarsath Wastes)
a Dracurion hoplite (Jarsath Wastes)
a Durus decapitator (Jarsath Wastes)
a ferocious razorfang (Jarsath Wastes)
a forgotten phantasm (Jarsath Wastes)
a Gazing Petrifier (Jarsath Wastes)
a helot spirit (Charasis: Vault of Eternal Sleep)
a Jarsath jibsnapper (Jarsath Wastes)
a jungle quatcha (Kunzar Jungle)
a Nak'azar slayer (Chardok)
a pyre golem (Charasis: Vault of Eternal Sleep)
a risen sentry (Sebilis)
a sepulchre spectre (Charasis: Vault of Eternal Sleep)
a tormented reet (The Crypt of Agony)
a vile stoneleer (Jarsath Wastes)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an invoked deathwrap (Kunzar Jungle)
an unearthed dragoon (Jarsath Wastes)
an unearthed soldier (Jarsath Wastes)
Barrelspike (Jarsath Wastes)
Denmother Yugguh (Moors of Ykesha)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Lord Vizaroth (The Crypt of Agony)
Nightclaw (Kunzar Jungle)
Siege Warden Darnan (Jarsath Wastes)
Ulroth the Protector (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop