Dropped by
a boneclaw pincher (Fens of Nathsar)
a Bonedigger pathfinder (Fens of Nathsar)
a bonesplint piercer (Fens of Nathsar)
a drolvarg guardian (Karnor's Castle)
a feral chokidai scavenger (Kunzar Jungle)
a Nurgan minedigger (Fens of Nathsar)
a restless Cabilisian dragoon (Fens of Nathsar)
a Sathirian trooper (Kunzar Jungle)
Aimedaca (Miragul's Phylactery: The Crucible)
an ancient reanimator (Kurn's Tower)
an emerald stonegazer (Kunzar Jungle)
an ominous shadow reaver (Kurn's Tower)
an undergrowth sabrecat (Kunzar Jungle)
Arch-bishop Joltan (Befallen: Halls of the Forsaken)
Baron Yosig (The Crypt of Agony)
Chieftain Siltsea (Runnyeye: The Gathering)
Cribblekeep (Veksar: The Sunken Theater)
Cruhm the Overseer (The Deep Forge)
Firelord Kaern (The Deep Forge)
Gorscha Gahh (The Ruins of Guk: The Lower Corridors)
Harbringer Freglor (The Crypt of Agony)
Hulking Drachnid Prototype (Ravenscale Repository)
Imperator Ignus (Ward of Elements)
Librarian Zimor (The Crypt of Agony)
Lord Marcus Thex (Evernight Abbey)
Magus Vein'ca (Anchor of Bazzul)
Mucus of the Deep One (Chelsith)
Patriae Vykel (Miragul's Phylactery: The Anathema)
Phantom of Symphonia (Mistmyr Manor)
The Codexicon (Miragul's Phylactery: The Crucible)
The Reformed Magolemus (Najena's Hollow Tower)
Thovalakk (Kurn's Tower: Breaching the Void)
Xorlac the Cleanser (Miragul's Phylactery: The Crucible)

Confirmed Locations
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Mobs that drop this item also drop