Dropped by
a Boombottom observer (Runnyeye: The Gathering)
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless feaster (Charasis: Maiden's Chamber)
a chokidai handler (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a cursed traitor (Sebilis)
a Durus decapitator (Jarsath Wastes)
a helot spectre (Charasis: Vault of Eternal Sleep)
a Sathirian gravelord (Sebilis)
a Sathirian patron (Sebilis)
a Sathirian researcher (Sebilis)
a skyfire drake (Jarsath Wastes)
a sporconid eyesore (Kunzar Jungle)
a stinging spined succulent (Jarsath Wastes)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Denmother Yugguh (Moors of Ykesha)
Doom (Kunzar Jungle)
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)
Lord Vizaroth (The Crypt of Agony)
The Chardok Trampler (Chardok)
The Incredible Lumberer (Moors of Ykesha)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
Ulroth the Protector (Jarsath Wastes)
Warlord Shrez'Nid (Chardok)
Warlord Zon'Kir (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop