Dropped by
a Broken Toe backbiter (Runnyeye: The Gathering)
a devouring Yha-lei leech (Chelsith)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a drachnid widow guard (Jarsath Wastes)
a ghastly excretion (Chelsith)
a Gorowyn knight sentinel (Chardok)
a Grungetalon elite (Runnyeye: The Gathering)
a skyshadow drake (Jarsath Wastes)
a Yha-lei defender (Chelsith)
a Yha-lei prognosticator (Chelsith)
a Yha-lei sentinel (Chelsith)
an Immortal guardian (Chardok)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Dominus Ganak (Kunzar Jungle)
Ebonmaw (Jarsath Wastes)
Eldrig the Young (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Impaler Tzilug (Charasis: Maiden's Chamber)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Tentar (Chelsith)
Queen Velazul Dizok (Chardok)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)
Xorxx (Runnyeye: The Gathering)

Confirmed Locations
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Mobs that drop this item also drop