Dropped by
a Boombottom observer (Runnyeye: The Gathering)
a bottomless gnawer (Charasis: Maiden's Chamber)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a Durus decapitator (Jarsath Wastes)
a Durus scar guardian (Jarsath Wastes)
a ferocious razorfang (Jarsath Wastes)
a Jarsath jibsnapper (Jarsath Wastes)
a mistgoblin scout (Kunzar Jungle)
a risen brittlebone (Kunzar Jungle)
a Sathirian researcher (Sebilis)
a Sebilite guardian (Kunzar Jungle)
a tormented kor (The Crypt of Agony)
a trakanasaur (Kunzar Jungle)
a vicious razorfang (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
an old quatcha patriarch (Kunzar Jungle)
Barrelspike (Jarsath Wastes)
Igoo (Kunzar Jungle)
Mate Thugurg (Moors of Ykesha)
Nightclaw (Kunzar Jungle)
Old Whitefoot (Kunzar Jungle)
Ripcurl (Jarsath Wastes)
Shardak the Silent (Kunzar Jungle)
Snappyjaw (Moors of Ykesha)
The Great Rustyback (Moors of Ykesha)
The Incredible Lumberer (Moors of Ykesha)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
Tralb the Mystic (Kunzar Jungle)
Ulroth the Protector (Jarsath Wastes)
Warlord Zon'Kir (Jarsath Wastes)
Watch Sergeant Grolj (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop