Dropped by
a boneclaw pincher (Fens of Nathsar)
a Bonedigger pathfinder (Fens of Nathsar)
a dragonmage spellslinger (Fens of Nathsar)
a drolvarg guardian (Karnor's Castle)
a drolvarg sentry (Karnor's Castle)
a Sathirian trooper (Kunzar Jungle)
an ancient reanimator (Kurn's Tower)
Benach Aglebar (Ward of Elements)
Boss Riggledub (Veksar: The Sunken Theater)
Coagulation of Flesh and Evil (Befallen: Necrotic Asylum)
Firelord Kaern (The Deep Forge)
Jailor Ca'iluer (Najena's Hollow Tower)
Khost Alur (Ward of Elements)
Kotiz the Death Bringer (Sebilis)
Magus Vein'ca (Anchor of Bazzul)
Master of the Embalmers (Emperor's Athenaeum)
Ravenscale Protectorate (Ravenscale Repository)
The Codexicon (Miragul's Phylactery: The Crucible)
The Reformed Magolemus (Najena's Hollow Tower)

Confirmed Locations
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Mobs that drop this item also drop