My guild has been working on Patchwerk off and on for a few nights now and we are having difficulties in keeping the healing consistant. Usually either a slow uptake on the heals combined with a lack of tank avoidance kills us off consistantly around 40-50%, we had some miracle attempt that got him down to 8% but we haven't been able to repeat it since. Our DPS is right on mark if not better so that is not a concern of mine at the moment. We are currently using 3 Hateful Strike tanks, with 3-4 healers spread on each of those and the rest on the one tanking Patchwerk himself (we have 16 healers total, usually 4 druids, 4 paladins, 8 priests give or take a class here or there).

We've tried many different approaches:

- Reactive healing in which people are spamming their heals right after a Hateful Strike lands (3.6 seconds till next in the worst case scenario, all heals finish within 3 seconds) but due to latency/reaction issues that doesn't work out too well.
- We tried it mostly where people were spamming midrange heals and cancelling if the tank was at full health. This would lead to a tank getting healed up to around 6,000 or so and dying to the next Hateful Strike due to inconsistent healing bursts.
- We even tried focusing healers onto 2 tanks with 1 as backup, healing up the 2 primaries to full health within 2.4 seconds (this one obviously has mana issues in the long run).

Predominately our problem is timing the healing burst on the hateful strike tanks, the best time where we did maintain the bursts was when we tried reacting to the hateful strikes. However our overall response to the attack would eventually fall behind the incoming damage. Was wondering if any Patchwerk vets might have any advice, or just overall advice on this sort of burst healing in any sort of raid environment.

Gear Background:
- Tanks all have 2-3 Dreadnaught, 10-11k health raid buffed and are using Greater Stoneshields and other such pots to increase armor/avoidance.
- Druids (8/8 Stormrages, some with Dreamwalker, +800 healing on some)
- Paladins (1-2 Redemption, +800-900 heal on some)
- Priests (few 8/8 Trans, others are mix of AQ/BWL and some Faith, +600-800 healing on most everyone)

Any advice or practice is appreciated.

We don't need Patchwerk Thread #19.

Reactive healing won't work. You have enough healing -- just practice pre-casting and cancelling without being horribly wasteful. Put more healers on tank #1 and, somewhat, #2, than you put on #3. Beyond that, practice. Err on the side of letting your spell go through -- mana can be replenish, dead tanks less so.