- One is found on a corpse in Things Betwixt. A hidden path next to the waterfall leads down to it.
- Three can be found on a corpse near the Pharros' Contraption in No-Man's Wharf.
- Ten are received upon reaching rank 1 in the Rat King covenant.
- Dropped by Undead Steelworkers in Harvest Valley and Earthen Peak.
- Dropped by Undead Peasants in Brightstone Cove Tseldora.
The Small Smooth & Silky Stone can be used to heal the player's HP a very small amount, or it can be given to Dyna & Tillo to receive a random item.
Small Smooth & Silky Stones may not be used to heal during PvP.