Originally Posted by SuperSoft
so my diseases scale with my AP?
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Yes! (Reading the tooltip ingame also helps

)
The thing is, when you refresh your diseases with pestilence the damage doesn't change. So even if you refresh your diseases with 3000 AP less, it won't affect them. They keep on rolling on your buffed AP. With my crap gear i usually have over 2000
average damage per tick through the whole bossfight. (unholy spec)
I dont use Bleeding Hearts because it doesn't work. I use Powermeter to track my AP.