Dropped by
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a ghastly excretion (Chelsith)
a Gorowyn knight sentinel (Chardok)
a Gorowyn regal knight (Chardok)
a Grungetalon scratcher (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a stalwart Yha-lei champion (Chelsith)
a Yha-lei sentinel (Chelsith)
an enchanted barricade (Chardok)
an Enraged Gnasher (Jarsath Wastes)
Bbal'Gaz the Enthraller (Chelsith)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
High Shaman Vohan (Runnyeye: The Gathering)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Praetorian Captain Nagol (Sebilis)
Queen Imayaruk (Jarsath Wastes)
Qumus the Ominous (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
The Blue Baron (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop