Dropped by
a chokidai mongrel (Sebilis)
a drachnid widow guard (Jarsath Wastes)
a Dracurion firemancer (Jarsath Wastes)
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a Gorowyn knight dragoon (Chardok)
a Grungetalon cook (Runnyeye: The Gathering)
a Grungetalon elite (Runnyeye: The Gathering)
a parasitic incuiline (Chelsith)
a Runnyeye elite (Runnyeye: The Gathering)
a Sathirian praetorian (Sebilis)
a Sathirian whipcracker (Sebilis)
a Yha-lei defender (Chelsith)
a Yha-lei enforcer (Chelsith)
a Yha-lei sentinel (Chelsith)
an ashfire drake (Jarsath Wastes)
an Enraged Gnasher (Jarsath Wastes)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Crystalline Destroyer (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gorogon (Chardok)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Scarscale the Ravager (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop