Dropped by
a Broken Toe shaman (Runnyeye: The Gathering)
a crypt guardian (Sebilis)
a feasting devourer (Jarsath Wastes)
a ghastly excretion (Chelsith)
a reet slave (Sebilis)
a Runnyeye elite (Runnyeye: The Gathering)
a stalwart Yha-lei champion (Chelsith)
a Yha-lei defender (Chelsith)
a Yha-lei enforcer (Chelsith)
a Yha-lei sentinel (Chelsith)
an Immortal guardian (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Dominus Ganak (Kunzar Jungle)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Mucus of the Deep One (Chelsith)
Scarscale the Ravager (Jarsath Wastes)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop