Sanguine Depths, Healer Guide
Updated 1 year ago for patch 9.2 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.
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.
- Run over
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
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.
- Continuously deals light damage to all players with
- Fleeting Manifestation
- 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
- Major: Sintouched Anima (dispel, curse), Castigate
Addons
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.
- On Mythic, 15
- 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).
- Avoid the impact locations of
- 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
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.
- All players hit take light damage over time from
- 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.
- Standing inside the barrier reduces damage taken from
Healing Notes
- Be aware of players with high stacks of Wicked Gash as the encounter goes on.
Debuffs to Track
- Minor: Wicked Gash
Addons
Advertisement
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.
- Summons an Animated Weapon with
- Dreadful Huntmaster
- Avoid the locations of
Volatile Traps. - Deals moderate damage to random players with
Dread Shot.
- Avoid the locations of
- Regal Mistdancer
- Don't stand in front during
Echoing Thrust.
- Each subsequent cast triggers an Echoing Thrust at the previous cast location(s).
- Each subsequent cast triggers an
- Don't stand in front during
- 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.
- Deals heavy damage to the tank with
- Gluttonous Tick
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.
- Dispel
- Dark Acolyte
- Interrupt Dark Bolt to prevent the moderate damage dealt to random players.
- Interrupt
- 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.
- Don't stand in front to avoid
- 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.
- When affected by
- Head Custodian Javlin
- Deals heavy damage to the tank with
Bludgeoning Bash. - Avoid the
Sweeping Slash tornado that emanates out in a straight line. - Soothe
Motivational Clubbing from nearby Grubby Dirtcrunchers to remove the increased haste effect.
- Deals heavy damage to the tank with
- Research Scribe
- Avoid the impact location of
Explosive Vellum. - Deals light damage to random players with
Throw Research.
- Avoid the impact location of
- Infused Quill-Feather
- Interrupt
Fiery Cantrip to prevent the moderate damage dealt to random players.
- Interrupt
- Remnant of Fury
- Dispel
Explosive Anger (curse), or, if no dispel is available, move at least 10-yards away from other players.
- Dispel
- Vestige of Doubt
- Avoid the Growing Mistrust pool.
- Avoid the
- Depths Warden
- Targets random players with Barbed Shackles, dealing moderate damage over time and rooting them in place.
- Targets random players with
- Fleeting Manifestation
- Deal light damage over time to all players with Growing Pride.
- Upon death, avoid the Residue pool.
- Deal light damage over time to all players with
- Frenzied Ghoul
- Soothe
Frenzy (enrage) to remove the increased attack speed effect.
- Soothe
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.
- Deals light damage to random players with
- Sanguine Cadet
- Gains increased damage dealt from
Unified Front for each Sanguine Cadet nearby. - Targets random players with
Pierce, dealing light damage.
- Gains increased damage dealt from
Trash Debuffs to Track
- Major:
- Curse Dispel: Curse of Suppression (dispel, curse), Explosive Anger (dispel, curse)
- Damaging: Barbed Shackles, Dread Bindings,
Engorge.
- Curse Dispel:
- Minor:
- Magic Dispel: Wrack Soul (dispel, magic)
- Damaging: Volatile Trap, Severing Slice
- Magic Dispel:
- Enrages to Soothe: Frenzy, Motivational Clubbing
- Buffs to Purge: Stoneskin
Trash Addons
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.
- The player affected by
- Grand Proctor Beryllia
- The tank will need an external defensive cooldown to survive Iron Spikes.
- Rite of Supremacy will need a cooldown to survive.
- The tank will need an external defensive cooldown to survive
- Kryxis the Voracious
Fortified
- Insatiable Brute
- The tank may need an external defensive cooldown to survive Slam.
- The tank may need an external defensive cooldown to survive
- Head Custodian Javlin
- The tank may need an external defensive cooldown to survive Bludgeoning Bash.
- The tank may need an external defensive cooldown to survive
- Fleeting Manifestation
- Minor cooldowns may be needed to survive Growing Pride.
- Minor cooldowns may be needed to survive
- Grand Overseer
- Should be killed quickly due to the potential of Overbearing Presence to stack even higher.
- Should be killed quickly due to the potential of
- Insatiable Brute
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
- The following enemies can be difficult to move due to their preference for casting spells. Be ready with knock backs and interrupts.
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
- The following enemies should probably be killed first, or carefully killed at the same time as other enemies.
Grievous
- No exceptional interactions noted yet!
Raging
Videos
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