Well this dropped off of one of the Transients in the second room out from entrance. So it must just be a random drop. I was lucky enough to be the only monk in the zone when it dropped. I didnt kill the mob that dropped it, but I sure wish I could remember who did so I could give them credit. My Hand to hand skill is only 192 right now... However I am Currently able to do up to 75 damage if I put this in my primary slot. Normal hits are around 50 but when the mobs fail that magic resist check it sure is sweet. By the way the graphic is just another one of those red blinking things on your hand but hey I kinda like it.