Skip to main content

Patchwerk, Healer Guide

Updated 5 months, 1 week ago for patch 3.4.1 by Preston. View the change log.

Patchwerk Dungeon Journal ModelThis page covers a healer-focused strategy for Patchwerk in Naxxramas in Wrath of the Lich King. 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, combat log information, and Dungeon Journal information. I'll continue to update it as-needed.

Patchwerk ModelGeneral Mechanics and Abilities

  • The tanks will be dealing with Hateful Strike.
    • Does not hit the highest threat player. The highest threat tank will be dealing with moderate melee damage.
    • It instead hits the highest current health player in melee range, preferring the second and third (only second on 10-Player) highest threat players unless a higher current health player is in range.
    • Melee DPS can step in and out of the slime river to damage themselves, lower the chances they're hit.
  • At 5% health, Enrages, increasing Attack Speed and Physical damage dealt.
  • After 6-minutes, goes Berserk, greatly increasing physical damage dealt and attack speed, and rapidly fires Slime Bolts at all players.


Patchwerk ModelHealing 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.

  • Use Cooldowns as-needed
    • to keep the tanks alive
  • Pre-heal Before (mainly for heal over time classes)
    • There's nothing to pre-heal before, but keeping heal over time effects active on tanks will be beneficial.
  • Other things to watch for
    • Try to avoid healing melee DPS so their health stays low and they avoid Hateful Strike.
    • Use external defensive cooldowns on the tanks while Enrage is active.

Patchwerk ModelDebuffs to Track

  • There are no particular debuffs to track.

Patchwerk ModelUseful Addons

Naxxramas DBM Import Code for Healers - +

To use this import code, install the Deadly Boss Mods addon, type /dbm in your chat, expand the Wrath of the Lich King header in the left-hand panel, click on the Naxxramas heading, click on the Load AddOn button in the right-hand panel if necessary, click on the Import Profile button, paste the code into the box and click Import. Note that importing this code will replace all of your current settings for all Naxxramas bosses.


Comment on Patchwerk, Healer Guide

Changelog - View the last ten changes. - +

October 10, 2022 - 2:28 pm (Healer) - Added DBM import code for Healers.

October 10, 2022 - 2:28 pm (Healer) - Added DBM import code for Healers.