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Theater of Pain, Healer Guide

Posted 3 weeks, 1 day ago for patch 9.0 by Preston.

This page covers healer-focused strategies for the Theater of Pain 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 the Theater of Pain, including their abilities, healer notes, and addon settings.

Dessia the Decapitator Dungeon Journal Model An Affront of Challengers

  • Dessia the Decapitator
    • The tank will be dealing with Mortal Strike, which reduces healing received, and Slam.
    • Dispel Enrage (enrage) to allow the boss to be killed.
      • If no enrage dispel is available, Dessia will survive until all other bosses are killed.
    • At low health, when Steel Vortex is used, run against the pull to avoid the whirlwind effect area.
  • Paceran the Virulent
  • Sathel the Accursed
  • On Mythic, Xira the Underhanded
    • Targets random players with Ambush, stunning them and dealing heavy damage over time.

 Healing Notes

  • Healer notes will be added once I've seen the encounter.
 Debuffs to Track
 Addons
  • Useful addons will be added as they're available.

Gorechop Dungeon Journal Model Gorechop

 Healing Notes

  • The tank may need an external defensive cooldown to survive Hateful Strike.
 Debuffs to Track
  • There are no particular debuffs to track.
 Addons
  • Useful addons will be added as they're available.

Xav the Unfallen Dungeon Journal Model Xav the Unfallen

  • The tank will be dealing with Brutal Combo.
  • Oppressive Banner reduces all players' movement speed over time in 15% intervals.
  • During Might of Maldraxxus, avoid the series of attacks from Xav in the center of the arena.
    • Don't stand in the line in front of the boss to avoid Crushing Slam.
    • Don't stand in the hemisphere in front of the boss to avoid Massive Cleave.
  • At 100% Energy, Blood and Glory sends two players into the dueling pit.
    • Players have 45-seconds to kill one another, if neither player dies, both are affected by Cowardice, reducing their damage dealt.
    • While in the dueling pit, both players continuously gain stacks of Glorious Combat, increasing their damage taken.
    • The player that dies is affected by Bloodied, reducing their damage dealt.
    • The surviving player gains Glorified, increasing their damage dealt.

 Healing Notes

  • The tank may need an external defensive cooldown to survive Brutal Combo.
 Debuffs to Track
  • There are no particular debuffs to track.
 Addons
  • Useful addons will be added as they're available.

Kul'tharok Dungeon Journal Model Kul'tharok

  • The tank will be targeted by Spectral Reach (dispel, curse) if not in melee range.
  • When affected by Draw Soul, avoid being pulled into Kul'tharok.
  • Dispel Haunt (magic) to prevent the light damage over time and remove the Fear effect.
  • Avoid the impact locations of Grasping Hands.
  • Deals light damage over time to all players for the duration of the encounter with Chill of the Beyond.

 Healing Notes

  • Damage can stack up on players depending on who's affected by Draw Soul and Haunt (dispel, magic).
 Debuffs to Track
 Addons
  • Useful addons will be added as they're available.

Mordretha, the Endless Empress Dungeon Journal Model Mordretha, the Endless Empress

  • The tank will be dealing with Reaping Scythe.
  • Avoid the Dark Devastation beam.
  • Run against the pull of Grasping Rift to avoid being affected by Death Grasp (dispel, curse) within the rift.
  • Deals light damage over time and then moderate damage to all players within 6-yards of another player Manifest Death.
    • Each player spawns a Deathwalker.
      • Deathwalker
        • Interrupt Death Bolt to prevent the damage dealt.

 Healing Notes

  • Manifest Death can deal a lot of damage is players are stacked up when the effect expires.
 Debuffs to Track
 Addons
  • Useful addons will be added as they're available.

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 Trash Mobs

Below are notes for the trash mobs in the Theater of Pain.  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.

 Trash Debuffs to Track

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

 Trash Addons

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


 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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