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.
• 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 applies a stack of Essence Surge.
• Stand between Kryxis and the player targeted by Juggernaut Rush to split the damage dealt.

 Healing Notes

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

 Debuffs to Track

• Major: Juggernaut Rush

 Addons

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

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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) orb that orbits the area. 

 Healing Notes

• As long as Fleeting Manifestations are kept under control healing this fight shouldn't get too out of hand.

 Debuffs to Track

• Major: Sintouched Anima (dispel, curse)

 Addons

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

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Grand Proctor Beryllia

• The tank will be dealing with Iron Spikes.
• Just before Rite of Supremacy is cast, move to a Shining Radiance shield to mitigate the damage taken.
  • Additionally, all players take light damage over time from Agonize.
• Deals light damage over time to all players during Endless Torment.
  • Avoid the impact locations of Anguished Cries (dispel, magic).

 Healing Notes

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

 Debuffs to Track

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

 Addons

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

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General Kaal

• 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.
• Don't stand in front of the boss and her images when Piercing Blur is cast.
• At 100% Energy, Gloom Squall deals moderate damage to all players, knocking them back.

 Healing Notes

• The overall healing requirement will gradually ramp up as more players are affected by Wicked Gash.

 Debuffs to Track

• Minor: Wicked Gash

 Addons

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

 Trash Mobs

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

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 Trash Debuffs to Track

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

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 Trash Addons

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

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 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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