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Mists of Tirna Scithe, Healer Guide

Posted 1 month ago for patch 9.0 by Preston.

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

Stage One - Foul Magic

During this stage, players will be dealing with Droman Oulfarran while fighting Ingra Maloch.

Stage Two - Wrath of the Forest

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

 Healing Notes

 Debuffs to Track
  • Useful addons will be added as they're available.

Mistcaller Dungeon Journal Model Mistcaller

  • During Guessing Game, the Illusionary Clone with a sigil that doesn't match the others must be killed.
    • Illusionary Clone
      • Deal steadily increasing damage to all players with Penalizing Burst.
      • If the wrong Illusion is killed, all players take heavy damage from Oopsie.
  • Avoid the line between Mistcaller and the targeted player when Dodge Ball is cast.
  • When targeted by Patty Cakes, interrupt the spell if possible.
  • 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.

 Healing Notes

 Debuffs to Track
  • Useful addons will be added as they're available.

Tred'ova Dungeon Journal Model Tred'ova

  • At 70% and 40% health, gains a Gorging Shield while consuming a Cocoon of Lakali, causing all players to take moderate damage over time while the shield persists.
  • Accelerated Incubation spawns four Gormling Larva.
  • When affected by Mind Link, move at least 40-yards away from other linked players to break the effect.
  • Avoid the impact locations of Acid Expulsion.
  • Targets random players with Acid Spittle, dealing light damage over time.

 Healing Notes

  • Use cooldowns as-needed while Gorging Shield is active.
  • Be aware of players affected by multiple debuffs as once, they may need an external defensive cooldown to help them survive.
 Debuffs to Track
  • Useful addons will be added as they're available.


 Trash Mobs

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

  • Trash information will be added as soon as possible.

 Trash Debuffs to Track

  • Major: 
  • Minor:
  • Enrages to Dispel:
  • Buffs to Purge:

 Trash Addons

  • Useful addons will be added as they're available.

 Mythic+ Notes

In this section you'll find notes about certain interactions bosses and trash mobs have with the Mythic+ difficulty increase or certain affixes that make them more troublesome than normal.

  • Mythic+ notes will be added as soon as possible.

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