Scourge - Alacrity Support Healer

Part of the current metagame

Our curator decided this build is in the current metagame regardless of rating. The community gave this build a rating, making it top-tier: Great

Focused on: Healing and Utility

Designed for: Raids

Expansions required:

Difficulty:

Easy

This build was last updated on July 04, 2025 and is up to date for the June 24, 2025 patch.

Overview

A Scourge build that brings heavy support in raids. This build provides sustained healing and strong resurrecting ability. In addition, it provides permanent Fury, Protection, Swiftness, Vigor and 25 Might to its subgroup, as well as a low-cooldown applications of Aegis and Stability.

It should be noted that most of the healing is in the form of barrier, which isn't reduced by Agony (in fractals).

Skill Bar

Staff

Pistol/Warhorn

Utility

Weapon Variants

Unfortunately, it is awkward to cover healing, Might and Swiftness with one set of weapons:

• Staff is a strong source of healing, as well on-demand Stability and the only source of Vigor. The healing is strong enough that it's better to use our relic to cover missing boons rather than replace staff.
• Torch can provide enough Might to maintain 25 stacks without relying on a relic.
• Warhorn is the only source that can maintain permanent Swiftness, though Relic of Febe is near-permanent and can be topped up with Trail of Anguish.

On low-damage encounters, it is fine to skip Staff in favour of covering boons more easily. And if your quickness provider is covering Swiftness or some Might, you can skip Warhorn and Torch, respectively.

A full explanation of why the recommended setup was chosen can be found in the Usage section.

For the mainhand slot, Fear of Death and Eternal Life generate enough life force to use any weapon:

• Pistol is chosen as standard as to interact with Relic of the Midnight King, and hence it also has the strongest CC.
• Use Axe if vulnerability is lacking.
• Use Dagger for extra CC (requires Secrets of the Obscure).
• Use Scepter for range, and also has the most convenient boon removal.

Axe, Dagger and Scepter also provide extra boon rip.

Skill Variants

Healing

• Sand Flare - Provides AoE barrier (and therefore more Alacrity), but you lose out on a ranged res.

Utility
Any of your utilities can be swapped out for extra utility, but make sure Might is covered before swapping out Desiccate:

• Blood Is Power for extra Might generation
• Corrosive Poison Cloud - destroys projectiles.
• Corrupt Boon - for extra boon rip.
• Sand Swell - 900 range portal, useful for mobility and skips.
• Summon Flesh Wurm - 1200 range teleport. Can also bodyblock certain projectiles (e.g. Old Tom's poison whirl).
• Trail of Anguish - some Swiftness and Stability.
• Epidemic - can be useful even in healing gear.
• Spectral Grasp - AoE pull.
• Signet of Undeath - a costly ranged res, but a complete one. Also a good choice if you feel you lack life force.

Elite

• Ghastly Breach - if heavy AoE boonstrip is needed or for a little more Might. This is the recommended option when CC is not required.
• Lich Form - for soloing Thaumanova heat room with your massive health pool.

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Specializations

Trait Variants

• Vampiric Presence - trades healing for a tiny bit of extra damage.
• Vital Persistence - if you need more personal survivability.

Equipment

Head
Harrier

Shoulders
Harrier

Chest
Harrier

Hands
Harrier

Legs
Harrier

Feet
Harrier

Backpiece
Harrier

Accessory
Harrier

Accessory
Harrier

Amulet
Harrier

Ring
Harrier

Ring
Harrier

Staff
Harrier

Sigil

Sigil

Pistol
Harrier

Warhorn
Harrier

Sigil

Sigil

Rune
x6

Infusion
x15

Infusion
x3

Relic

Relics

There are four good relic options: Relic of the Flock, Relic of Febe, Relic of Altruism and Relic of the Midnight King:

• Relic of the Flock is the strongest healing option, but you should only use it if boons are being covered elsewhere.
• Relic of Febe (requires Secrets of the Obscure) can be used to cover Swiftness
• Relic of Altruism and Relic of the Midnight King both provide similar amounts of Might and Fury.

Relic of the Midnight King is chosen as the default because the others all rely on using your healing skill, which limits your ability to use it reactively. Though getting good use out of Relic of the Midnight King involves using Reaper's Mark off cooldown, which also limits your ability to use it reactively for Stability.

Sigils

• Sigil of Superior Sigil of Water and Sigil of Superior Sigil of Transference only provide around 150 healing per second each.
  • Note that Sigil of Superior Sigil of Transference increases your revive speed from Ritual of Life, so it has value beyond raw healing.
• Sigil of Superior Sigil of Concentration will allow you to swap some pieces out for Minstrel stats or Magi stats. Minstrel stats provide more healing, but also add toughness, which may be undesirable in raids.

Consumables

Food

• or ascended alternatives

Utility

• • for a cheaper alternative
• can be used if you find yourself often reviving. Note that this does grant 75 toughness, which may interfere with boss aggro in rare cases - eat different food if this is going to be an issue.

Usage

Default setup explanation

As stated before, Heal Scourge struggles to provide Might and Swiftness at the same time. We don't really want to drop Staff, as it offers way more healing than we'd get from Relic of the Flock, so it's better to use our relic to provide one of the boons we lack. The other boon will be provided by our choice of oddhand weapon on the second set.

No setup is clearly better than the others, and the best option will depend on group and encounter. The reasons for the default setup here are as follows:

• Given that it is one of your few burst heals and a resurrect, it is very helpful to be able to hold on to Well of Blood rather than needing to use it off cooldown for boons. This leaves Relic of the Midnight King as the best option and means we need to use Warhorn to cover Swiftness.
  • If using Relic of the Midnight King, the only mainhand weapon that can trigger it is Pistol.
• As healing is reduced significantly when not on Staff, it greatly improves our flexibility to be able to camp it for longer periods. Torch requires swapping nearly off-cooldown to really benefit from the boons it provides, but Warhorn's Swiftness lasts for 30 seconds (with 100% boon duration). Not only that, but Trail of Anguish can be used to top up the duration so that you can maintain it for over 60 seconds before needing to swap.
• Swiftness is a relatively uncommon boon, especially from non-healers (which you presumably will be paired with). Meanwhile, it is uncommon to find a quickness support that doesn't provide any Might to the group, so it is unlikely to matter if your personal generation is reduced by the lack of Torch.

Alacrity

Thanks to Desert Empowerment, every barrier you provide also grants Alacrity. This means using Manifest Sand Shade, Sand Cascade and Sandstorm Shroud off cooldown on your group.

Be aware that each of these skills applies barrier in a different way:

• Manifest Sand Shade provides barrier to five targets in a 300-unit radius of where you drop your shade.
• Sand Cascade provides barrier to three targets in a 180-unit radius around you and each of your shades.
• Sandstorm Shroud pulses barrier three times to five targets in a 300-unit radius around you, THEN a final pulse to three targets in a 180-unit radius around you and each of your shades.

Healing

• Your healing is divided between refreshing barriers on your allies and spamming Staff marks (via Transfusion).
• You lose a lot of your reactive healing when you switch off of Staff, so this is only really done to top up boons - try to have this coincide with moments of low pressure.
• You can stack multiple barriers to preempt heavy damage, but keep in mind that barriers are capped at 50% of your ally's maximum health.
• Use Garish Pillar off cooldown when you're on stack, as Transfusion causes it to drop a healing mark underneath you.
• Use Locust Swarm when on Warhorn to provide some minor healing.
• Well of Blood is a powerful pulsing heal that also provides Regeneration and revives downed allies.
• Thanks to Abrasive Grit, each application of barrier removes one condition.
  • Additional conditions can be removed with Nefarious Favor.

Might

• Use Sandstorm Shroud, Blood Is Power, Oppressive Collapse, Desiccate, and Sand Cascade off cooldown to provide might as required.
• If using Relic of the Midnight King, all your CC abilities also provide Might (and Fury).
• Always have your Sand Shade up to get the 225 bonus concentration from Sand Sage.

Rotation example

We start on Pistol/Warhorn to provide initial Swiftness and two CCs to stack up Might a bit faster.

1. Manifest Sand Shade - boon duration is important!
2. Vile Blast - Relic of the Midnight King has a one-second cooldown on triggers, which means we need to slightly spread out CC
3. Desiccate - the sooner the group gets Might, the better
4. Wail of Doom - second Relic of the Midnight King trigger
5. Locust Swarm
6. Weapon Swap

After this, the goal is to stay on staff for heals, spamming marks, shroud skills and utilities. Being familiar with what each skill does will help greatly, as many of them will be good for dealing with mechanics.

Look for opportunities to swap back to your other set when healing won't be as required - encounter knowledge is helpful to identify times when there won't be much pressure. Split phases are also an excellent time to swap and repeat the opener at the start of the next phase. It can also be very helpful to swap for extra CC.

While on your other set, you can lean on your other big heals to sustain the team:

• Garish Pillar - drops a mark at your location thanks to Transfusion
• Well of Blood - pulses for five seconds
• Serpent Siphon
• Dodging will drop a Lesser Mark of Blood at your final location, thanks to Mark of Evasion, and this version is also enhanced by Transfusion.

CC

• Charge (necromancer)
• Garish Pillar
• Vile Blast (pistol)
• Dark Pact (dagger)
• Wail of Doom (warhorn)
• Oppressive Collapse (torch)
• Reaper's Mark (staff)
• Chilblains (staff)

General Tips

• Try to place your shade on one side of the group, and stand on the other side - this will help spread barrier more evenly.
• If lots of boonstrip is needed, remember that Dark Pact, Feast of Corruption and Unholy Feast strip boons as well.