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Mists of Tirna Scithe, Healer Guide

Updated 3 months, 4 weeks ago for patch 9.1.0 by Preston. View the change log.

This page covers healer-focused strategies for the Mists of Tirna Scithe dungeon in Shadowlands. While it's tailored for healers, other roles may also find the information useful. If you have any suggestions or feedback, you can leave a comment below or tweet @PrestonDvorak.

This guide has been updated and maintained based on my own experiences as well as Dungeon Journal and combat log information. I'll continue to update it as-needed.


Below are guides for the bosses in Mists of Tirna Scithe, including their abilities, healer notes, and addon settings.

Ingra Maloch Dungeon Journal Model Ingra Maloch

During this encounter, players will be alternating between two stages.

Stage One - Foul Magic

This stage begins the encounter and ends when Droman Oulfarran is "killed." The stage begins again after ~15 seconds in stage two, when Soul Shackle takes hold again.

Stage Two - Wrath of the Forest

This stage begins when Droman Oulfarran is "killed" and ends after ~15 seconds when Soul Shackle takes hold again. The stage begins again each subsequent time Droman Oulfarran is "killed."

  • Dorman Oulfarran now assists players.
    • Dorman Oulfarran
      • Droman's Wrath stuns Ingra and causes him to take additional damage.

 Healing Notes

 Debuffs to Track

Mistcaller Dungeon Journal Model Mistcaller

  • The tank will need to interrupt Patty Cakes.
  • Avoid the Dodge Ball paths pointing out from Mistcaller.
  • Freeze Tag spawns an Illusionary Vulpin that fixates on a random player with Freeze Tag Fixation.
    • If the the Vulpin reaches the fixated player, the player takes moderate damage and is stunned by Freezing Burst.
  • During Guessing Game, the Illusionary Clone with a sigil that doesn't fit with the others must be killed.
    • Illusionary Clone
      • Deals steadily increasing damage to all players with Penalizing Burst.
      • If the wrong Clone is killed, all players take moderate damage from Oopsie.
    • On Mythic, Mistcaller remains but is immune to damage.
    • Sigils won't be a direct match but instead have different criteria that can match one another. Players must find the odd one out, example below.
      • Sigils are created with following three criteria:
        • Shape: Leaf, Flower
        • Color: Full Color, Outline Only
        • Border: Full Border, No Border
      • For example, the four sigils could be an Outline Only Leaf with No Border, A Full Color Flower with No Border, A Full Color Leaf with No Border, and an Outline Only Leaf with Border.
        • In this example, the odd sigil out is the Outline Only Leaf with Border because all other sigils have No Border.

 Healing Notes

 Debuffs to Track

Tred'ova Dungeon Journal Model Tred'ova

 Healing Notes

 Debuffs to Track


 Trash Mobs

Below are notes for the trash mobs in Mists of Tirna Scithe. Mists of Tirna Scithe is a relatively linear dungeon. The trash below is ordered as if you're completing the bosses in the order they're listed above.

Entrance thru Ingra Maloch

  • Tirnenn Villager
    • Don't stand in front of these to avoid Bewildering Pollen (dispel, magic).
    • Target random players with Overgrowth, dealing light damage over time before stunning them with Overgrowth.
    • Upon being defeated, grants players Refreshing Mist, restoring health and mana.
  • Drust Spiteclaw
    • Purge Dying Breath to prevent the increased damage taken debuff from being applied to players upon death.
      • If no purge is available, dispel Dying Breath (magic) from affected players.
  • Drust Soulcleaver
    • Apply stacks of Soul Split (dispel, magic) to the tank, greatly increasing damage taken.
  • Drust Harvester
    • Interrupt Harvest Essence to prevent the healing and light damage dealt to all players.
  • Drust Boughbreaker

Ingra Maloch thru Mistcaller

  • This section contains a puzzle similar to the Mistcaller Guessing Game which you must solve in order to progress into each subsequent room.
    • Each pedestal in a room displays a sigil when a player walks near it.
    • Players must find the sigil that doesn't fit with the others based on the same criteria noted in the Mistcaller section (Shape, Color, and Border).
    • Walking through the doorway of the non-matching sigil will open up the next room.
    • Walking through the wrong doorway causes an Envelopment of Mist to bring all players back to the beginning of the section.
  • Mistveil Defender
    • Don't stand in front of these to avoid Spear Flurry.
    • Soothe Enraged  to prevent the stacking increased damage dealt effect.
  • Mistveil Sharper
  • Mistveil Guardian
  • Mistveil Stalker
    • When targeted by Anima Injection (dispel, magic), move at least 10-yards away from other players.
    • Targets random players with Mistveil Tear, dealing light damage over time.

Mistcaller thru Tred'ova

  • Spinemaw Staghorn
  • Spinemaw Acidgullet
    • When affected by Volatile Acid, move at least 5-yards away from other players to avoid chaining the damage dealt. 
  • Spinemaw Gorger
  • Spinemaw Larva
  • Spinemaw Reaver
    • Applies stacks of Debilitating Poison (dispel, poison) to random players, dealing light damage over time and decreasing movement speed.

 Trash Debuffs to Track

 Trash Addons

  • Maze Helper - Allows you to solve the maze more easily by yourself by allowing you to select each symbol as you reveal it, before being given the symbol of the door you should go through.

 Mythic+ Notes

Below are notes that pertain to high mythic+ levels and certain affixes. What constitutes a high mythic+ level will depend on your gear and group, so if you out-gear a particular mythic+ level these notes may not apply. The notes are grouped by affix but are in no particular order.

  • Tyrannical
  • Fortified
    • Drust Boughbreaker
    • Spinemaw Acidgullet
      • Players affected by Volatile Acid may need external defensive cooldowns to survive, as well as significant healing.
  • Sanguine
    • Drust Harvester
      • Can be difficult to move due to their preference for casting spells. Be ready with knock backs and interrupts.
    • Drust Boughbreaker
  • Bolstering
    • Drust Boughbreaker
      • Should probably be killed first, or carefully killed at the same time as other enemies.
    • Spinemaw Acidgullet
      • Should be carefully killed at the same time as other enemies to avoid increased damage from Volatile Acid.
  • Grievous
    • Drust Boughbreaker
    • Spinemaw Acidgullet
      • Volatile Acid will likely cause the affected player to gain high stacks.
  • Raging
    • Drust Boughbreaker
    • Mistveil Defender
      • Must be soothed quickly if Enraged is also active.


Mythic 18 +1 Clear, Restoration Druid PoV

Below is a video of me clearing Mists of Tirna Scithe on Mythic 18 difficulty in time for a +1 upgrade during Season 1 of Shadowlands.

Mythic 0 Clear, Restoration Druid PoV

Below is a video of me clearing Mists of Tirna Scithe on Mythic 0 difficulty.

Comment on Mists of Tirna Scithe, Healer Guide

Changelog - View the last ten changes. - +

June 27, 2021 - 5:06 am (Healer) - Reviewed guide and made minor updates and clarifications. Added +18 clear video.

April 12, 2021 - 3:02 am (Healer) - Added the maze helper addon I use to the trash mob addons section.

March 08, 2021 - 12:28 am (Healer) - Corrected Drust Spiteclaw Dying Breath information and spell IDs. Added Mistveil Tear to Mistveil Stalker.

January 19, 2021 - 3:21 pm (Healer) - Added additional raging affix notes.

December 01, 2020 - 12:30 am (Healer) - Updated Bewildering Pollen spell id on trash mobs.

November 29, 2020 - 1:46 am (Healer) - Added Mythic 0 clear video.

November 27, 2020 - 7:42 pm (Healer) - Updated Mind Link spell ID, added enrages to trash mobs.

November 21, 2020 - 11:38 pm (Healer) - Added healer DBM settings for bosses.

August 29, 2020 - 3:51 pm (Healer) - Added missing trash mob information. Updated Guessing Game information to be more thorough.

August 16, 2020 - 12:31 am (Healer) - Updated Tred'ova abilities.