Dropped by
a Brokenskull officer (Moors of Ykesha)
a crypt defender (Charasis: Vault of Eternal Sleep)
a ferocious razorfang (Jarsath Wastes)
a helot skeleton (Charasis: Vault of Eternal Sleep)
a Nak'azar blackguard (Chardok)
a nettle spined succulent (Jarsath Wastes)
an aggressive grindhoof (Jarsath Wastes)
an eternal maul (Ward of Elements)
Baron Yosig (The Crypt of Agony)
Benach Aglebar (Ward of Elements)
Chaotic Manipulation (Miragul's Phylactery: Scion of Ice)
Digg (Ward of Elements)
Firelord Kaern (The Deep Forge)
Ghoz the Brutal (Anchor of Bazzul)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Imperator Ignus (Ward of Elements)
Khost Alur (Ward of Elements)
Krakalings (Veksar: The Invasion)
Magmadin (Najena's Hollow Tower)
Pythoness Olrga (Evernight Abbey)
The Eidolon of Depravity (Befallen: Halls of the Forsaken)
The Reformed Magolemus (Najena's Hollow Tower)
Thullosian barsher (Moors of Ykesha)
Vauth the Suffragan (Befallen: Necrotic Asylum)
Ykeshan troll (Moors of Ykesha)
Ykeshan wanderer (Moors of Ykesha)

Confirmed Locations
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Mobs that drop this item also drop