Dropped by
a bottomless feaster (Charasis: Vault of Eternal Sleep)
a bottomless gnawer (Charasis: Vault of Eternal Sleep)
a chokidai handler (Sebilis)
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 Dracurion hoplite (Jarsath Wastes)
a haunting spectre (Charasis: Vault of Eternal Sleep)
a haunting spirit (Charasis: Vault of Eternal Sleep)
a helot spirit (Charasis: Vault of Eternal Sleep)
a magmatic destroyer (Jarsath Wastes)
a Sathirian gravelord (Sebilis)
a sepulchre skeleton (Charasis: Vault of Eternal Sleep)
a tormented bok (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a trakanasaur (Kunzar Jungle)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ancient denizen (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Hierophant Prime Kulgarn (Sebilis)
Irefang (Jarsath Wastes)
Librarian Zimor (The Crypt of Agony)
Maitre d' Rixrir (Sebilis)
The Chardok Trampler (Chardok)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)
Warlord Zon'Kir (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop