Dropped by
a crypt juggernaut (The Crypt of Agony)
a Dracurion hoplite (Jarsath Wastes)
a jungle quatcha (Kunzar Jungle)
a risen sentry (Sebilis)
a Runnyeye guard (Runnyeye: The Gathering)
a Sathirian patron (Sebilis)
a Sathirian student (Sebilis)
a skyfire wurm (Jarsath Wastes)
a tormented kor (The Crypt of Agony)
a Yha-lei netman (Jarsath Wastes)
Admiral Tylix (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an elementalbone skeleton (Charasis: Vault of Eternal Sleep)
an undertaker skeleton (Charasis: Vault of Eternal Sleep)
Barrelspike (Jarsath Wastes)
Gorehoof (Jarsath Wastes)
Gregor Thunderfist (Fens of Nathsar)
Gritgobbler (Kunzar Jungle)
Lord Vizaroth (The Crypt of Agony)
Witchdoctor Hazar (Kunzar Jungle)

Confirmed Locations
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Mobs that drop this item also drop