Dropped by
a Gorowyn knight sentinel (Chardok)
a Runnyeye brawler (Runnyeye: The Gathering)
a skyfire wurm (Jarsath Wastes)
a Yha-lei defender (Chelsith)
a Yha-lei prognosticator (Chelsith)
an Enraged Gnasher (Jarsath Wastes)
an entrapped soul of Shai'din (Court of Korucust)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Burrtoe the Gorged (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
First Lieutenant Rixol (Sebilis)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Tentar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Nortalz Di'Zok (Chardok)
Scarscale the Ravager (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
The Blue Baron (Chelsith)
Xorxx (Runnyeye: The Gathering)

Confirmed Locations
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Mobs that drop this item also drop