Dropped by
a Grungetalon advisor (Runnyeye: The Gathering)
a Jarsath tomb guard (Charasis: Maiden's Chamber)
a Nak'azar legionnaire (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler ruffian (Runnyeye: The Gathering)
a Sathirian legionnaire (Sebilis)
a Yha-lei feeder (Chelsith)
a Yha-lei worshipper (Chelsith)
an elder skyfire wyvern (Jarsath Wastes)
an Immortal knight (Chardok)
an imprisoned soul of Shai'din (Court of Korucust)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
High Commander Ziz (Jarsath Wastes)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Glamar (Chelsith)
Leviathor'Tentar (Chelsith)
Queen Velazul Dizok (Chardok)
Scarscale the Ravager (Jarsath Wastes)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop