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Originally Posted by Oneeye
My own personal opinion is that who Patchwerk Hs's on the list is based on who has the highest health, but who is on that very list is dictated by threat. Hs gives a threat bonus, and when hit by it a number of times it is almost impossible to surpass that tank in threat, but when a number of parry's occur, or the first two tanks get healed so mutch that Hs's bounce back and forth between them, it is possible to pass that tank in hate. A number of our dps have eaten it when this (this is all speculation mind you :P) has happned.
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So perhaps HS targets are #2,3,4 on the total threat list. MT gains a monsterous amount of bonus threat from white damage recieced allowing him to stay on top of the list. HS targets recieve agro dumps, but should be less than the agro the MT has. HS attempts to target the player with highest current HP of the players that are #2,3,4 on the threat list.
This would explain the observation's I've seen quiet well. If the HS is ping ponging between 2 OTs and the 3rd OT only recieve a few early HS, at some point in the fight he would get over taken on the threat meter by a rogue. That rogue with a relatively small HP was a legit HS target, but never had more HP than the 2 OTs recieving HSs.
I believe I also witnessed a HS target become the MT on a few encounters. Perhaps if healing was too focused on that OT he was beign healed to full within 1.2s of the previous HS (which I believe was the case) and taking a majority of the HS, which lead to him surpassing the MT on the threat list and becoming the MT.