Dropped by
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a Gorowyn knight dragoon (Chardok)
a Gorowyn regal knight (Chardok)
a Grungetalon gouger (Runnyeye: The Gathering)
a Nak'azar rearguard (Chardok)
a Sandscrawler patcher (Runnyeye: The Gathering)
a Sathirian praetorian (Sebilis)
a Yha-lei defender (Chelsith)
a Yha-lei prognosticator (Chelsith)
a Yha-lei sentinel (Chelsith)
Bbal'Gaz the Enthraller (Chelsith)
Chieftain Kanar (Runnyeye: The Gathering)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
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)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Nihilist Yeegarn (Sebilis)
Queen Velazul Dizok (Chardok)
Scarscale the Ravager (Jarsath Wastes)
Stalis Ra'Dal (Chardok)
Warden Sheezol (Court of Korucust)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop