Dropped by
a docile water elemental (Fens of Nathsar)
a Kunarkian tusker (Fens of Nathsar)
a Nathsar stonebeak (Fens of Nathsar)
an ancient reanimator (Kurn's Tower)
an arbor giant (Kylong Plains)
Boss Riggledub (Veksar: The Sunken Theater)
Bricktop (Nu'roga)
Corpus Amygdalus (Miragul's Phylactery: The Anathema)
Cruhm the Overseer (The Deep Forge)
Digg (Ward of Elements)
Firelord Kaern (The Deep Forge)
Gelidus Ventus (Ward of Elements)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperator Ignus (Ward of Elements)
Khost Alur (Ward of Elements)
Kierax the Energy Wielder (Obelisk of Ahkzul)
Lord Marcus Thex (Evernight Abbey)
Lord Vizaroth (The Crypt of Agony)
Magmadin (Najena's Hollow Tower)
Primogen Daishirou (Mistmyr Manor)
Reverie (Miragul's Phylactery: Scion of Ice)
Selgrak the Monster (Emperor Atrebe's Laboratory: The Fabled City of Kor-sha)
The Bonegrinder (Befallen: Cavern of the Afflicted)
The Codexicon (Miragul's Phylactery: The Crucible)
The Eidolon of Depravity (Befallen: Halls of the Forsaken)
The Reformed Magolemus (Najena's Hollow Tower)
Vauth the Suffragan (Befallen: Necrotic Asylum)

Confirmed Locations
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Mobs that drop this item also drop