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Drest'agath, Healer Guide

Updated 3 years, 4 months ago for patch 8.3 by Preston. View the change log.

Drest'agath Dungeon Journal ModelThis page covers a healer-focused strategy for Drest'agath in Ny'alotha, the Waking City. 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

Normal and Heroic

During this encounter players will be killing Drest'agath's Appendages to gain a buff allowing permanent damage to be dealt to Drest'agath.

  • Drest'agath
    • Rapidly heals damage taken due to Aberrant Regeneration.
      • Killing an Appendage of Drest'agath (detailed below) leaves behind a pool of Void Infused Ichor.
        • Touching the pool allows the affected player to damage Drest'agath while the effect persists, avoiding its healing effect.
        • On Heroic, when the effect expires the player gains Umbral Aversion and cannot be affected by Void Infused Ichor for 60-seconds.
    • The tanks will be dealing with Volatile Seed.
    • If no players are in melee range, Void Grip stuns and pulls in the nearest player.
    • At 100% Energy, Throes of Agony deals heavy damage over time to all players.
      • Killing an Appendage of Drest'agath gives 25 Energy over 5-seconds.
    • When affected by Mutterings of Insanity, move at least 15-yards away from other players before becoming immobile and triggering Unleashed Insanity.
    • During Entropic Crash, move as far away from Drest'agath and Tentacles of Drest'agath as possible to reduce damage taken.
    • Avoid the Void Glare beams from Drest'agath and Eyes of Drest'agath.
  • Appendages of Drest'agath

Mythic Differences

  • Appendages of Drest'agath
    • Upon death, now also trigger the 100% Energy ability on all other Appendages of the same type due to Throes of Dismemberment.


Healing Notes

Quick Notes, All Difficulties

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.

Debuffs to Track



  • Mind Flay causes players to need additional healing.

 DBM Settings

Below are the DBM settings I'll be using for Drest'agath. You can set them up however you'd like, but these ones should work well as a starting point. Some settings may be Mythic only.

Healer DBM Settings for Drest'agath Thumbnail
Healer DBM Settings for Drest'agath

Comment on Drest'agath, Healer Guide

Changelog - View the last ten changes. - +

March 02, 2020 - 9:54 pm (The Prophet Skitra) - Updated intermission health breakpoints.

February 27, 2020 - 3:12 pm (Dark Inquisitor Xanesh) - Added heroic kill video, reviewed the guide but no changes needed.

February 25, 2020 - 7:03 pm (Ra-den the Despoiled) - Added heroic kill video.

February 24, 2020 - 1:25 pm (The Hivemind) - Added heroic kill video.

February 14, 2020 - 10:05 pm (The Prophet Skitra) - Added heroic kill video.

February 13, 2020 - 11:05 pm (Maut) - Added heroic kill video and made minor updates to DBM settings.

February 10, 2020 - 7:49 am (Wrathion, the Black Emperor) - Added heroic kill video and adjusted potion of replenishment time.

January 24, 2020 - 10:59 am (N'zoth the Corruptor) - Added DBM settings.

January 24, 2020 - 10:40 am (Carapace of N'zoth) - Added DBM settings.

January 21, 2020 - 2:38 pm (Il'gynoth, Corruption Reborn) - Added DBM settings.