Dropped by
a Boombottom guest (Runnyeye: The Gathering)
a clay defender (Charasis: Maiden's Chamber)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a deadly razorfang (Jarsath Wastes)
a desert crawler (Runnyeye: The Gathering)
a mist grinnin fisher (Runnyeye: The Gathering)
a mistgoblin scout (Kunzar Jungle)
a pyre golem (Charasis: Vault of Eternal Sleep)
a Sandscrawler forger (Runnyeye: The Gathering)
a Sathirian archon (Sebilis)
a Sathirian gravelord (Sebilis)
a Sathirian researcher (Sebilis)
a Sathirian witchdoctor (Sebilis)
a sepulchre spectre (Charasis: Vault of Eternal Sleep)
a skyfire drake (Jarsath Wastes)
a tormented kor (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a tortured shadow (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an undertaker supplicant (Charasis: Vault of Eternal Sleep)
Arch Duke Latol (The Crypt of Agony)
Banker Nulgar (Sebilis)
Baron Yosig (The Crypt of Agony)
Gorehoof (Jarsath Wastes)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Librarian Zimor (The Crypt of Agony)
Snappyjaw (Moors of Ykesha)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Tralb the Mystic (Kunzar Jungle)

Confirmed Locations
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Mobs that drop this item also drop