Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a Gazing Petrifier (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a haunting spectre (Charasis: Vault of Eternal Sleep)
a haunting spirit (Charasis: Vault of Eternal Sleep)
a mistgoblin scout (Kunzar Jungle)
a mistgoblin warrior (Kunzar Jungle)
a nettle spined succulent (Jarsath Wastes)
a risen froglok (Sebilis)
a Sathirian gravelord (Sebilis)
a stinging spined succulent (Jarsath Wastes)
a tormented jin (The Crypt of Agony)
a Torsis spectre (Kunzar Jungle)
a trained war sokokar (Kunzar Jungle)
a vile stoneleer (Jarsath Wastes)
a Yha-lei patroller (Jarsath Wastes)
an unearthed soldier (Jarsath Wastes)
Barrelspike (Jarsath Wastes)
Ganak's tomb guardian (Charasis: Vault of Eternal Sleep)
Hierophant Prime Grekal (The Crypt of Agony)
Icthious Gustu (Jarsath Wastes)
Irefang (Jarsath Wastes)
Shardak the Silent (Kunzar Jungle)
The Great Rustyback (Moors of Ykesha)
Tralb the Mystic (Kunzar Jungle)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop