Dropped by
a drolvarg guardian (Karnor's Castle)
a drolvarg sentry (Karnor's Castle)
a giant venom flow leech (Kunzar Jungle)
a kunzar scaleripper (Kunzar Jungle)
a remnant of Theer (Kurn's Tower)
a Sathirian trooper (Kunzar Jungle)
an elite shardfist (Kunzar Jungle)
Dayakara (Ward of Elements)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Firelord Kaern (The Deep Forge)
Gorogon (Chardok)
Haggle Baron Klok (Kurn's Tower)
Jailor Ca'iluer (Najena's Hollow Tower)
Magmadin (Najena's Hollow Tower)
Plague-ridden Crawler Queen (Befallen: Cavern of the Afflicted)
Primogen Daishirou (Mistmyr Manor)
Shade of Miragul (Miragul's Phylactery: Scion of Ice)
The Master (Miragul's Phylactery: The Crucible)
The Reformed Magolemus (Najena's Hollow Tower)
Xorlac the Cleanser (Miragul's Phylactery: The Crucible)
Yynzik the Scornridden (Kurn's Tower: Breaching the Void)

Confirmed Locations
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Mobs that drop this item also drop