Dropped by
a Dracurion warder (Jarsath Wastes)
a ghastly excretion (Chelsith)
a Gorowyn knight dragoon (Chardok)
a Gorowyn knight sentinel (Chardok)
a Nak'azar executioner (Court of Korucust)
a Sathirian legionnaire (Sebilis)
a Sathirian oracle (Sebilis)
a Yha-lei defender (Chelsith)
a Yha-lei feeder (Chelsith)
a Yha-lei worshipper (Chelsith)
an Immortal guardian (Chardok)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Burrtoe the Gorged (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Tentar (Chelsith)
Majora Leviathora (Chelsith)
Memnmamar Marrowgut (Runnyeye: The Gathering)
Mucus of the Deep One (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Queen Velazul Dizok (Chardok)
The Blue Baron (Chelsith)
Warlord Hir'roul (Chardok)

Confirmed Locations
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Mobs that drop this item also drop