Dropped by
a bottomless feaster (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Maiden's Chamber)
a bottomless gnawer (Charasis: Vault of Eternal Sleep)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a Durus scar guardian (Jarsath Wastes)
a ferocious razorfang (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a Grungetalon guest (Runnyeye: The Gathering)
a languid guardian (Charasis: Vault of Eternal Sleep)
a Sandscrawler guest (Runnyeye: The Gathering)
a Sathirian patron (Sebilis)
a sepulchre spirit (Charasis: Vault of Eternal Sleep)
a spectral harbinger (Sebilis)
a spectral protector (Karnor's Castle)
a spurbone skeleton (Kunzar Jungle)
a tormented ilis (The Crypt of Agony)
a tormented jin (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a touched spiritist (Sebilis)
a trakaraptor (Kunzar Jungle)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an ambushing grindhoof (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Denmother Yugguh (Moors of Ykesha)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Hierophant Prime Kulgarn (Sebilis)
Librarian Zimor (The Crypt of Agony)
Runnyeye defender (Runnyeye: The Gathering)
Tangor (Kunzar Jungle)
The Chardok Trampler (Chardok)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Reservoir Defender (Chardok)
Ulroth the Protector (Jarsath Wastes)
Wildhorn the Rampager (Chardok)

Confirmed Locations
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Mobs that drop this item also drop