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This item is a vanishingly rare world drop.
The only creatures it drops from with any measurable regularity are:
- Onyxia in Onyxia's Lair
- Lord Kazzak in Blasted Lands
- Emeriss in Ashenvale
- Lethon in Ashenvale
- Highlord Kruul in Durotar
- Azuregos in Azshara
- Nefarian in Blackwing Lair
- Taerar in Ashenvale
- Ysondre in Ashenvale
Note that it drops from these creatures 3% or less of the time.