Dropped by
a Boombottom guest (Runnyeye: The Gathering)
a crypt enforcer (The Crypt of Agony)
a Dalnir's Wheel watchman (Kunzar Jungle)
a Durus decapitator (Jarsath Wastes)
a Durus flayer (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a Sathirian gravelord (Sebilis)
a sepulchre spectre (Charasis: Vault of Eternal Sleep)
a sporconid redcap (Kunzar Jungle)
a stinging spined succulent (Jarsath Wastes)
a tormented bok (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a trakanasaur (Kunzar Jungle)
a vile stoneleer (Jarsath Wastes)
a Villisis dweller (Chardok)
an aggressive grindhoof (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an elder jungle quatcha (Kunzar Jungle)
an unearthed dragoon (Jarsath Wastes)
an unearthed soldier (Jarsath Wastes)
an unfathomable feaster (Charasis: Maiden's Chamber)
Barrelspike (Jarsath Wastes)
Gregor Thunderfist (Fens of Nathsar)
Harbringer Freglor (The Crypt of Agony)
Irefang (Jarsath Wastes)
Mate Thugurg (Moors of Ykesha)
Shardak the Silent (Kunzar Jungle)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop