Dropped by
a Boombottom observer (Runnyeye: The Gathering)
a chokidai bloodhound (Chardok)
a crypt juggernaut (The Crypt of Agony)
a Danak regimental (Jarsath Wastes)
a deadly razorfang (Jarsath Wastes)
a Durus decapitator (Jarsath Wastes)
a Durus flayer (Jarsath Wastes)
a ferocious razorfang (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a jungle quatcha (Kunzar Jungle)
a kunzar scaleshredder (Kunzar Jungle)
a risen froglok (Sebilis)
a risen sentry (Sebilis)
a Sathirian sokokar keeper (Kunzar Jungle)
a Torsis phantom (Kunzar Jungle)
a trakaraptor (Kunzar Jungle)
a Yha-lei netman (Jarsath Wastes)
an aggressive grindhoof (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an elder jungle quatcha (Kunzar Jungle)
an unearthed dragoon (Jarsath Wastes)
an unearthed soldier (Jarsath Wastes)
Barrelspike (Jarsath Wastes)
Gorehoof (Jarsath Wastes)
Gregor Thunderfist (Fens of Nathsar)
Mate Thugurg (Moors of Ykesha)
Praetor of the Phylactery (Charasis: Vault of Eternal Sleep)
The Incredible Lumberer (Moors of Ykesha)
Uroomuh (Moors of Ykesha)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop