Dropped by
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a Dracurion warder (Jarsath Wastes)
a Grungetalon elite (Runnyeye: The Gathering)
a Sandscrawler shiv (Runnyeye: The Gathering)
a skyshadow drake (Jarsath Wastes)
a Yha-lei feeder (Chelsith)
an Immortal guardian (Chardok)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Eldrig the Young (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)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Mucus of the Deep One (Chelsith)
Scarscale the Ravager (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
The Blue Baron (Chelsith)
The Reet Chef (Sebilis)
Uth'Gak the Grand Devotor (Chelsith)
Warden Sheezol (Court of Korucust)
Widow Matron Eilyan (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop