Dropped by
a blood gorger (Moors of Ykesha)
a Brokenskull officer (Moors of Ykesha)
a chokidai handler (Sebilis)
a crypt juggernaut (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a Nuknok screamer (Moors of Ykesha)
a Rime hydrolated battler (Jarsath Wastes)
a Torsis phantom (Kunzar Jungle)
an unearthed dragoon (Jarsath Wastes)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Cruhm the Overseer (The Deep Forge)
Dayakara (Ward of Elements)
Dread Exarch Mordek (Befallen: Necrotic Asylum)
Executor Zynos (Anchor of Bazzul)
Firelord Kaern (The Deep Forge)
Hulking Drachnid Prototype (Ravenscale Repository)
Imperator Ignus (Ward of Elements)
Kierax the Energy Wielder (Obelisk of Ahkzul)
Magmadin (Najena's Hollow Tower)
Nightfall (Emperor's Athenaeum)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Sanedrac the Lost (Emperor Atrebe's Laboratory: The Fabled City of Kor-sha)
Telvorsinn (Kurn's Tower: Breaching the Void)
The Reformed Magolemus (Najena's Hollow Tower)
Warlord Drelikus (Chardok)

Confirmed Locations
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Mobs that drop this item also drop