This item can be found inside Reinforced Fel Iron Chest which spawns when you have killed Vazruden and Nazan in Hellfire Ramparts.
In Patch 2.2, there was an item that dropped from Headless Horseman in the Graveyard Wing of Scarlet Monastery with the same name as this. In Patch 2.3, the item was changed to Witches Band.
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