Dropped by
a fleeing Runnyeye guard (Runnyeye: The Gathering)
a Gorowyn knight dragoon (Chardok)
a Grungetalon elite (Runnyeye: The Gathering)
a Nak'azar rearguard (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler cook (Runnyeye: The Gathering)
a Yha-lei defender (Chelsith)
a Yha-lei sentinel (Chelsith)
a Yha-lei worshipper (Chelsith)
an enchanted barricade (Chardok)
an Enraged Gnasher (Jarsath Wastes)
an enslaved blacksmith (Runnyeye: The Gathering)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
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)
Leviathor'Tentar (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Stalis Ra'Dal (Chardok)
The Blue Baron (Chelsith)
Widow Matron Eilyan (Jarsath Wastes)
Zok the Old (Jarsath Wastes)

Confirmed Locations
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Mobs that drop this item also drop