Dropped by
a bonesplint protector (Fens of Nathsar)
a cursed cactulent (Fens of Nathsar)
a Ghoul Usurper (The Ruins of Guk: Halls of the Fallen)
a kunzar scaleshredder (Kunzar Jungle)
a risen froglok (Sebilis)
a risen sentry (Sebilis)
a Rubble-rabble burrower (Kunzar Jungle)
a Sathirian revenant (Sebilis)
a trained war sokokar (Kunzar Jungle)
an ancient reanimator (Kurn's Tower)
an Ancient Void-Touched Wumpus (Kurn's Tower: Breaching the Void)
an eternal maul (Ward of Elements)
Chaotic Manipulation (Miragul's Phylactery: Scion of Ice)
Drago (Emperor's Athenaeum)
Drusella Sathir (Charasis: Maiden's Chamber)
Firelord Kaern (The Deep Forge)
Froppit the Everliving (The Ruins of Guk: Halls of the Fallen)
Gruuper Groo (The Ruins of Guk: Ykesha's Outer Stronghold)
Hierophant Prime Grekal (The Crypt of Agony)
Jennre Warsinger (Kurn's Tower: Breaching the Void)
Master of the Embalmers (Emperor's Athenaeum)
Ra'zhish (Najena's Hollow Tower)
Reverie (Miragul's Phylactery: Scion of Ice)
The Codexicon (Miragul's Phylactery: The Crucible)
The Reformed Magolemus (Najena's Hollow Tower)
Zaza (Miragul's Phylactery: Scion of Ice)

Confirmed Locations
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Mobs that drop this item also drop