This page covers healer-focused strategies for the Sanguine Depths 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 Sanguine Depths, including their abilities, healer notes, and addon settings.

Kryxis the Voracious

• Various abilities, noted below, grant Kryxis stacks of Essence Surge, increasing damage dealt. 
• The tank will be dealing with Vicious Headbutt.
• Interrupt Hungering Drain to prevent the damage dealt to all players and to prevent Essence Surge stacks.
• Stand between Kryxis and the player targeted by Juggernaut Rush to split the damage dealt.
• At 100% Energy, Severing Smash deals light damage to all players and knocks them back, leaving behind Living Essences.
  • Run over Living Essences to prevent them being absorbed by Kryxis.
    • Running over an Essence deals light damage to the player. On Mythic, the light damage is dealt to all players.
    • Any Essence Kryxis absorbs grants a stack of Essence Surge.

 Healing Notes

• Keep the tank near full health and use external defense cooldowns as-needed on Vicious Headbutt.
• Use cooldowns as-needed to survive Juggernaut Rush and Severing Smash.

 Debuffs to Track

• Major: Juggernaut Rush

 Addons

• Healer DBM Settings for Kryxis

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Executor Tarvold

• When affected by Castigate, stay at least 8-yards away from other players.
• Coalesce Manifestation spawns a Fleeting Manifestation.
  • Fleeting Manifestation
    • Continuously deals light damage to all players with Growing Pride.
    • Upon death, avoid the Residue pool left behind. This is larger the more Energy the Manifestation had when it died.
• On Mythic, avoid the Sintouched Anima (dispel, curse) orbs that move through the hallway. 

 Healing Notes

• Use cooldowns as-needed if Fleeting Manifestations get out of control.

 Debuffs to Track

• Major: Sintouched Anima (dispel, curse), Castigate

 Addons

• Healer DBM Settings for Tarvold

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Grand Proctor Beryllia

• The tank will be dealing with Iron Spikes.
• Just before Rite of Supremacy is cast, stand inside a Shining Radiance zone to mitigate damage taken and to avoid the damage over time effect from Agonize.
  
  • On Mythic, 15 Fragment of Radiance spawn instead. Only one player can collect each fragment and each fragment collected mitigates 20% of the damage from Rite of Supremacy.
• Targets random players with Agonize, dealing light damage over time.
• Deals light damage over time to all players during Endless Torment.
  • Avoid the impact locations of Anguished Cries (dispel, magic).
• After the encounter, one player must pick up Z'rali's Essence for use on the General Kaal encounter.

 Healing Notes

• The tank may need an external defensive cooldown to survive Iron Spikes.
• Keep players near full health in case they're unable to get a shield for Rite of Supremacy.

 Debuffs to Track

• Minor: Agonize, Anguished Cries (dispel, magic)

 Addons

• Healer DBM Settings for Beryllia

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General Kaal

• Players chase Kaal down the final hallway, fighting her alongside trash mobs, before finally fighting her alone on the balcony.
• When affected by Wicked Rush, stay at least 5-yards away from other players.
  • All players hit take light damage over time from Wicked Gash.
• When Piercing Blur is cast, don't stand in front of the boss or her afterimages.
• At 100% Energy, before Gloom Squall is cast, the player with Z'rali's Essence must use the Shining Radiance Extra Action Button to create a barrier all players should stand in.
  • Standing inside the barrier reduces damage taken from Gloom Squall while mitigating the knock back effect.
  • Standing inside the barrier also removes all stacks of Wicked Gash.

 Healing Notes

• Be aware of players with high stacks of Wicked Gash as the encounter goes on.

 Debuffs to Track

• Minor: Wicked Gash

 Addons

• Healer DBM Settings for Kaal

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 Trash Mobs

Below are notes for the trash mobs in Sanguine Depths. Sanguine Depths 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 Kryxis the Voracious

• Noble Skirmisher
  • Summons an Animated Weapon with Animate Weapon.
• Dreadful Huntmaster
  • Avoid the locations of Volatile Traps.
  • Deals moderate damage to random players with Dread Shot.
• Regal Mistdancer
  • Don't stand in front during Echoing Thrust.
    • Each subsequent cast triggers an Echoing Thrust at the previous cast locations.
• Insatiable Brute
  • Deals heavy damage to the tank with Slam.
  • Avoid the impact location of Umbral Crash.
    • This deals light damage to all players, but players inside the impact location cause the Brute to heal.
• Gluttonous Tick
  • Interrupt Engorge to prevent the gain of Engorge.
  • Upon death or upon reaching 20 Engorge stacks, deals increasing damage to all players based on the number of Engorge stacks.

Kryxis the Voracious thru Executor Tarvold

• Wicked Oppressor
  • Dispel Curse of Suppression (curse) to remove the silence effect.
  • Interrupt or Dispel Wrack Soul (magic) to prevent the stacking damage over time.
• Dark Acolyte
  • Interrupt Dark Bolt to prevent the moderate damage dealt to random players.
• Chamber Sentinel
  • Don't stand in front to avoid Severing Slice.
  • Avoid the impact locations of Craggy Fracture.
  • Interrupt or Purge Stoneskin to prevent the reduced physical damage taken effect.
• Grand Overseer
  • When affected by Dread Bindings, run away from the Overseer to break the effect.
  • Interrupt Gloom Burst to prevent  the moderate damage dealt to random players.
  • Gradually applies stacks of Overbearing Presence to all players, reducing damage and healing done.
• Head Custodian Javlin
  • Deals heavy damage to the tank with Bludgeoning Bash.
  • Don't stand in front when he turns to cast Sweeping Slash.
  • Grants nearby Grubby Dirtcrunchers Motivational Clubbing, greatly increasing haste.
• Research Scribe
  • Avoid the impact location of Explosive Vellum.
  • Deals light damage to random players with Throw Research.
• Infused Quill-Feather
  • Interrupt Fiery Cantrip to prevent the moderate damage dealt to random players.
• Remnant of Fury
  • Dispel Explosive Anger (curse), or, if no dispel is available, move at least 10-yards away from other players.
• Vestige of Doubt
  • Avoid the Growing Mistrust pool.
• Depths Warden
  • Targets random players with Barbed Shackles, dealing moderate damage over time and rooting them in place.
• Fleeting Manifestation
  • Deal light damage over time to all players with Growing Pride.
  • Upon death, avoid the Residue pool.
• Frenzied Ghoul
  • Soothe Frenzy (enrage) to remove the increased attack speed effect.

Executor Tarvold thru Grand Proctor Beryllia

• This area includes Wicked Oppressors and Vestiges of Doubt, detailed above.

Grand Proctor Beryllia thru General Kaal

• This area includes Dreadful Huntmasters, Wicked Oppressors, Regal Mistdancers, Grand Overseers, Dark Acolytes, Noble Skirmisher, detailed above.
• General Kaal will be present in the final hallway, with players fighting her alongside trash mobs before meeting her on the final balcony.
• Rockbound Sprite
  • Deals light damage to random players with Animate Pebble.
• Sanguine Cadet
  • Gains increased damage dealt from Unified Front for each Sanguine Cadet nearby.
  • Targets random players with Pierce, dealing light damage.

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 Trash Debuffs to Track

• Major: 
  • Curse Dispel: Curse of Suppression (dispel, curse), Explosive Anger (dispel, curse)
  • Damaging: Barbed Shackles, Dread Bindings
• Minor:
  • Magic Dispel: Wrack Soul (dispel, magic)
  • Damaging: Volatile Trap, Severing Slice
• Enrages to Soothe: Frenzy
• Buffs to Purge: Stoneskin

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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
  • Kryxis the Voracious
    • Vicious Headbutt and Juggernaut Rush may need cooldowns to survive.
  • Executor Tarvold
    • The player affected by Castigate will need external defensive cooldowns to survive.
  • Grand Proctor Beryllia
    • The tank may need an external defensive cooldown to survive Iron Spikes.
• Fortified
  • Insatiable Brute
    • The tank may need an external defensive cooldown to survive Slam.
  • Head Custodian Javlin
    • The tank may need an external defensive cooldown to survive Bludgeoning Bash.
  • Fleeting Manifestation
    • Minor cooldowns may be needed to survive Growing Pride.
  • Grand Overseer
    • Should be killed quickly due to the potential of Overbearing Presence to stack even higher.
• Sanguine
  • The following enemies can be difficult to move due to their preference for casting spells. Be ready with knock backs and interrupts.
    • Dark Acolyte
    • Research Scribe
• Bolstering
  • The following enemies should probably be killed first, or carefully killed at the same time as other enemies.
    • Insatiable Brute
    • Head Custodian Javlin
    • Fleeting Manifestation
    • Grand Overseer
• Grievous
  • No exceptional interactions noted yet!
• Raging
  • Insatiable Brute
    • Must be soothed quickly to avoid excessive damage from Slam.
  • Gluttonous Tick
    • Must be soothed before dying to prevent stacks of Engorge dealing excessive damage.

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 Videos

Mythic 0 Clear, Restoration Druid PoV

Below is a video of me clearing Sanguine Depths on Mythic 0 difficulty.

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