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.

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 Bosses

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

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.

• Ingra Maloch
  • Controls Droman with Soul Shackle.
  • Interrupt Spirit Bolt to prevent the damage dealt.
  • During Embrace Darkness, all attacks against Ingra deal light damage to the attacking player.
    • Additionally, all players take light damage over time from Death Shroud.
  • On Mythic, Repulsive Visage (dispel, magic) fears all players for 3-seconds.
• Droman Oulfarran
  • Don't stand in front to avoid Bewildering Pollen (dispel, magic).
  • When Force Compliance is cast, avoid the impact locations of Tears of the Forest and the resulting Anima Puddles.
    • On Mythic, Weakened Resolve causes each cast of Tears of the Forest to increase the number of impact locations by one. The increase resets each time stage two starts.

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

• Use cooldowns as-needed during Embrace Darkness.

 Debuffs to Track

• Major: Bewildering Pollen (dispel, magic)
• Minor: Repulsive Visage (dispel, magic)

 Addons

• Healer DBM Settings for Ingra Maloch

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Mistcaller

• Avoid the Dodge Ball paths pointing out from Mistcaller.
• 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.
• 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

• Use cooldowns as-needed during Guessing Game.

 Debuffs to Track

• Major: Freezing Burst
• Minor: Freeze Tag Fixation

 Addons

• Healer DBM Settings for Mistcaller

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Tred'ova

• At 70% and 40% health, gains a Gorging Shield and begins channeling Consumption, dealing moderate damage over time to all players.
  • The Gorging Shield must be depleted in order to interrupt Consumption.
  • Avoid the impact locations of Anima Shedding.
• Accelerated Incubation spawns four Gormling Larva.
  • Gormling Larva
    • Fixate on the player affected by Marked Prey.
    • Avoid the Decomposition Pools left behind upon death.
• 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.
  
  • On Mythic, Decomposition Pools are left behind at impact locations.
• On Mythic, players will be affected by various Parasitic Infesters that must be killed to remove their effects.
  • Parasitic Pacification silences affected players and deals light damage over time.
  • Parasitic Incapacitation stuns affected players and deals light damage over time.
  • Parasitic Domination mind controls affected players and grants them a damage absorption shield that must be depleted to remove the mind control effect.

 Healing Notes

• Use cooldowns 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

• Major: Parasitic Incapacitation, Mind Link, Marked Prey
• Minor: Parasitic Pacification

 Addons

• Healer DBM Settings for Tred'ova

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 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.
    • Applies stacks of Dying Breath (dispel, curse) to all players within 30-yards, increasing damage taken.
• 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
  
  • Avoid the locations of Bramble Burst.
  • At 50% health, deals moderate damage over time to all players with Furious Thrashing.

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 will display 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 (enrage) to prevent the stacking increased damage dealt effect.
• Mistveil Sharper
  • Interrupt or Purge Bramblethron Coat to prevent the damage absorption effect and subsequent light damage dealt to all players with Bramblethorn Entanglement.
  • Targets random players with Mistveil Bite, dealing light damage and then light damage over time.
• Mistveil Guardian
  • Stay at least 10-yards away to avoid Bucking Rampage.
• Mistveil Stalker
  • When targeted by Anima Injection (dispel, magic), move at least 10-yards away from other players.

Mistcaller thru Tred'ova

• Spinemaw Staghorn
  • Interrupt or Purge Stimulate Resistance to prevent the damage absorption effect.
• Spinemaw Acidgullet
  • When affected by Volatile Acid, move at least 5-yards away from other players to avoid chaining the damage dealt. 
• Spinemaw Gorger
  • Avoid the impact location of Acid Globule.
• Spinemaw Larva
  • Upon death, avoid the Decomposing Acid pools left behind.
• Spinemaw Reaver
  • Applies stacks of Debilitating Poison (dispel, poison) to random players, dealing light damage over time and decreasing movement speed.

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 Trash Debuffs to Track

• Major:
  • Magic Dispel: Soul Split (dispel, magic), Anima Injection (dispel, magic), Bewildering Pollen (dispel, magic)
  • Curse Dispel: Dying Breath (dispel, curse)
  • Damaging: Volatile Acid
  • Incapacitating: Overgrowth
• Minor:
  • Poison Dispel: Debilitating Poison (dispel, poison)
  • Damaging: Overgrowth, Harvest Essence, Mistveil Bite
  • Incapacitating: Bramblethorn Entanglement (dispel, magic)
• Enrages to Soothe: Enraged
• Buffs to Purge: Bramblethron Coat, Stimulate Resistance

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 Trash Addons

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

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 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
  • Ingra Maloch
    • Embrace Darkness may require minor cooldowns to survive.
  • Mistcaller
    • Guessing Game may require minor cooldowns to survive.
  • Tred'ova
    • Gorging Shield will require significant cooldowns and possibly players using their personal defensive cooldowns to survive.
    • Players affected by Mind Link and
• Fortified
  • Drust Boughbreaker
    • Furious Thrashing will likely require cooldowns to survive.
  • 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
    • Will not move while channeling Furious Thrashing.
• 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
    • Can cause players to gain high stacks during Furious Thrashing.
  • Spinemaw Acidgullet
    • Volatile Acid will likely cause the affected player to gain high stacks.
• Raging
  • Drust Boughbreaker
    • Must be soothed quickly if channeling Furious Thrashing.
  • Mistveil Defender
    • Must be soothed quickly if Enraged is also active.

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 Videos

Mythic 0 Clear, Restoration Druid PoV

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

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