This page covers a healer-focused strategy for Patchwerk in Naxxramas. 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 with the encounter, logs information, and Dungeon Journal information. I'll continue to update it as-needed.

General Mechanics and Abilities

• The tanks will be dealing with Hateful Strike.
  • This will not hit the current top threat target. The top threat tank will be dealing only with auto attack damage.
  • It will hit the second, third, or fourth highest threat target that also has the highest current hit points and is in melee range.
  • If a melee DPS moves above one of the tanks in threat, they can step into the slime river to lower their health and help ensure they're less likely to be a target.
• At 5% health, Enrages, increasing physical damage dealt and attack speed.
• After 7-minutes, goes Berserk, greatly increasing physical damage dealt and attack speed, and rapidly fires Slime Bolts at all players.

Resistance Levels

• Players generally won't make use of any additional resistances on this encounter.

Healing Notes

The notes below mostly pertain to progression difficulty, meaning if you out-gear the difficulty you're on or use extra healers they may not apply.

• All off-tanks must be kept at full health in order to remain primary targets for Hateful Strike.
  • Additionally, melee DPS can be kept at lower health in order to further decrease their chances of being targeted.

Debuffs to Track

• There are no particular debuffs to track.

Addons

Healer DBM Settings for Patchwerk

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