Dropped by
a Broken Toe shaman (Runnyeye: The Gathering)
a chokidai alpha (Sebilis)
a gathering skorpikis (Emperor's Athenaeum)
a Gorowyn knight dragoon (Chardok)
a Grungetalon clincher (Runnyeye: The Gathering)
a murky sludge (Chelsith)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
an imprisoned soul of Shai'din (Court of Korucust)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Eldrig the Young (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'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Nihilist Yeegarn (Sebilis)
Norian Deathblow (Timorous Deep)
Queen Imayaruk (Jarsath Wastes)
Slamhammer (Runnyeye: The Gathering)
The Blue Baron (Chelsith)
Warden Sheezol (Court of Korucust)
Warlord Drelikus (Chardok)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop