Dropped by
a boneclaw pincher (Fens of Nathsar)
a Bonedigger pathfinder (Fens of Nathsar)
a feral chokidai scavenger (Kunzar Jungle)
a forsaken remembrance (Miragul's Phylactery: Scion of Ice)
a giant venom flow leech (Kunzar Jungle)
a veteran shardtroop (Kunzar Jungle)
an ancient reanimator (Kurn's Tower)
an Ancient Void-Touched Wumpus (Kurn's Tower: Breaching the Void)
an erollisi bloodthorn (Kunzar Jungle)
Bloodpriest Yak'Lar (Nu'roga)
Cruhm the Overseer (The Deep Forge)
Dread Exarch Mordek (Befallen: Necrotic Asylum)
Gelidus Ventus (Ward of Elements)
Kierax the Energy Wielder (Obelisk of Ahkzul)
Librarian Zimor (The Crypt of Agony)
The Doomsmith (The Deep Forge)
Tsiet'Sozlt (Befallen: Halls of the Forsaken)
Vauth the Suffragan (Befallen: Necrotic Asylum)

Confirmed Locations
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Mobs that drop this item also drop