Dropped by
a Caroeth ridgeguard assassin (Chardok)
a docile fire elemental (Jarsath Wastes)
a Grungetalon blesser (Runnyeye: The Gathering)
a Grungetalon scratcher (Runnyeye: The Gathering)
a mist grinnin petitioner (Runnyeye: The Gathering)
a Runnyeye elite (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
High Commander Ziz (Jarsath Wastes)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Queen Imayaruk (Jarsath Wastes)
Remnant of Sand (Charasis: Maiden's Chamber)
Scarscale the Ravager (Jarsath Wastes)
Slamhammer (Runnyeye: The Gathering)
Wrothflame (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop