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Boils down to spot situations. In alot of high end fights you can actually see beforehand if the "oh shit" moment is coming.
Archimonde: Soul Shard is fired/lots of doomfires ticking
Illidan: Flame tank has to move through some stuff/p4 enrage cant be trapped
Kalecgos: A healer missed his portal/Enrage
Brutallus: 4 Burns are ticking/Stomp cant be taunted
Felmyst: Some priest died/Adds are not fetched
Twins: Shadow Nova right before/after sears
Also all scripted fights are very trinket friendly. It sometimes requires more situational awareness than healer healthbar tunnel vision, but it is very doable and smoothes things up especially in fights where your own survivabilty is not an issue or 1.7k hp wont make a difference.
That being said, i also prefer passive trinkets, just because it's one less thing to "worry" about. It is still situationally great though.
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