Dropped by
a bottomless devourer (Charasis: Maiden's Chamber)
a bottomless feaster (Charasis: Vault of Eternal Sleep)
a chokidai pup (Sebilis)
a crypt defender (Charasis: Vault of Eternal Sleep)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a deadly razorfang (Jarsath Wastes)
a dialated retaliator (Runnyeye: The Gathering)
a drachnid widow guard (Jarsath Wastes)
a gnashing devourer (Jarsath Wastes)
a massive juggernaut (Kunzar Jungle)
a Nak'azar blackguard (Chardok)
a pyre golem (Charasis: Vault of Eternal Sleep)
a Sathirian centurion (Sebilis)
a Sathirian gravelord (Sebilis)
a sepulchre skeleton (Charasis: Vault of Eternal Sleep)
a spurbone skeleton (Kunzar Jungle)
a tormented jin (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a Yha-lei patroller (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an agitated protector (The Crypt of Agony)
an iksar insurgent (Jarsath Wastes)
Arch Duke Latol (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
brittle sathirian guard (Timorous Deep)
Gorehoof (Jarsath Wastes)
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)
Librarian Zimor (The Crypt of Agony)
Strategist Yeeol (Sebilis)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
The Keeper of Nightmares (Charasis: Vault of Eternal Sleep)
The Reservoir Defender (Chardok)
Watch Sergeant Grolj (Jarsath Wastes)
Witchdoctor Hazar (Kunzar Jungle)

Confirmed Locations
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Mobs that drop this item also drop