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Originally Posted by sock
I'm fairly convinced that Patchwerk's aggro is far from being completely and exhaustively understood, and until it is, expect all sorts of irregularities.
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Aside from knowing the exact numbers, it pretty much is. Every time he hits someone, threat is added for that person. The fight is "aggro-less" because it's ALMOST impossible to generate more threat through damage than the hate that patchwerk's attacks are generating in addition to the hate the MT generates. This is why you'll only see aggro pulls in the first few seconds of the fight, and it's basically always a fire mage who got a huge ignite roll right at the beginning of the fight.
What I don't know is if avoiding his attacks will also prevent the extra hate from his attack, so it's possible if your MT dodged a lot early in the fight that'd make it easier to pull aggro.
As always, someone please correct me if I'm wrong anywhere, I sadly don't have first hand experience with the fight just yet, and I'm just a lowly mage now =(