Dropped by
a clay enforcer (Sebilis)
a crypt guardian (Sebilis)
a ghastly excretion (Chelsith)
a Gorowyn regal knight (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler herder (Runnyeye: The Gathering)
a Sathirian praetorian (Sebilis)
a Yha-lei enforcer (Chelsith)
a Yha-lei feeder (Chelsith)
a Yha-lei sentinel (Chelsith)
a Yha-lei worshipper (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Leviathor'Glamar (Chelsith)
Memnmamar Marrowgut (Runnyeye: The Gathering)
Mucus of the Deep One (Chelsith)
Queen Imayaruk (Jarsath Wastes)
Silzok Foi'zarth (Chardok)
Stalis Ra'Dal (Chardok)
The Blue Baron (Chelsith)
The Reet Armsman (Sebilis)

Confirmed Locations
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Mobs that drop this item also drop