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This article contains information that is no longer relevant to gameplay, but is kept here for informational purposes.
The item only dropped from Chiltara. Note that she also dropped Urn of Quickening, and still drops Gibbering Gemstone, but was not guaranteed to drop any of the three. Because of her rare spawning in Caverns of Frost Level 2, it could take a lot of runs to obtain this item.
Only the blood of Chiltara runs this cold.