Dropped by
a Gorowyn knight dragoon (Chardok)
a Grungetalon blesser (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a hungry boarling (Runnyeye: The Gathering)
a Nak'azar executioner (Court of Korucust)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian dignitary (Sebilis)
a Sathirian legionnaire (Sebilis)
a Sathirian praetorian (Sebilis)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
an abyss lurker (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
an entombed architect (Emperor's Athenaeum)
an imperial golem (Chardok)
an imperial rampart (Chardok)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Crystalline Destroyer (Jarsath Wastes)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Drusella Sathir (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Mucus of the Deep One (Chelsith)
Sandstorm (Charasis: Maiden's Chamber)
Snok Eyegouger (Runnyeye: The Gathering)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop