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Sanguine Depths, Healer Guide

Updated 5 months, 1 week ago for patch 9.1.0 by Preston. View the change log.

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.


Below are guides for the bosses in Sanguine Depths, including their abilities, healer notes, and addon settings.

Kryxis the Voracious Dungeon Journal Model 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

 Debuffs to Track

Executor Tarvold Dungeon Journal Model 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 while Fleeting Manifestations are alive.
 Debuffs to Track

Grand Proctor Beryllia Dungeon Journal Model 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.
  • Targets random players with Agonize, dealing light damage over time.
  • Deals light damage over time to all players during Endless Torment.
  • 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

General Kaal Dungeon Journal Model General Kaal

  • Players chase Kaal down the final hallway, fighting her alongside trash mobs, before finally fighting her alone on her 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, avoid the large red lines between the afterimages on the edges of the balcony.
  • 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


 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
  • Dreadful Huntmaster
  • Regal Mistdancer
  • 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 moderate damage dealt to a random players and the gain of Engorge stacks.
    • 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 light damage over time.
  • Dark Acolyte
    • Interrupt Dark Bolt to prevent the moderate damage dealt to random players.
  • Chamber Sentinel
  • 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
  • Research Scribe
  • 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
  • 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
  • Sanguine Cadet
    • Gains increased damage dealt from Unified Front for each Sanguine Cadet nearby.
    • Targets random players with Pierce, dealing light damage.

 Trash Debuffs to Track

 Trash Addons

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

 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
    • Insatiable Brute
      • The tank may need an external defensive cooldown to survive Slam.
    • Head Custodian Javlin
    • Fleeting Manifestation
    • Grand Overseer
  • 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.


Mythic 17 +1 Clear, Restoration Druid PoV

Below is a video of me clearing Sanguine Depths on Mythic 17 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 Sanguine Depths on Mythic 0 difficulty.

Comment on Sanguine Depths, Healer Guide

Changelog - View the last ten changes. - +

May 15, 2021 - 4:22 am (Healer) - Full guide review with only minor clarifications/corrections needed.

May 14, 2021 - 5:10 pm (Healer) - Added Mythic 17 clear video.

December 14, 2020 - 2:07 pm (Healer) - Added Overbearing Presence note to Grand Overseers.

December 03, 2020 - 11:25 pm (Healer) - Updated Wicked Gash spell ID.

November 30, 2020 - 11:44 pm (Healer) - Added a note about picking up Z'rali's Essence, added trash enrages to soothe, updated Explosive Anger to be noted as a curse.

November 30, 2020 - 9:42 pm (Healer) - Added mythic 0 clear video.

November 22, 2020 - 4:29 am (Healer) - Added DBM settings to bosses.

November 17, 2020 - 11:19 pm (Healer) - Added trash mob information and mythic+ notes.

September 12, 2020 - 5:49 pm (Healer) - Minor updates to boss abilities.