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Major ninja buff to Twintania fight in yesterday's patch:
During the Conflag phase, the tank can no longer run into the conflag to avoid death sentence/plummet.
As soon as you run in, Twintania simply targets the next highest on the threat list and continues to attack.

So it's looking like tank swaps might become necessary because of the possibility that both healers will be in the conflag (if one gets conflag and the other gets fireball).

However, the conflags give you more time to kill before exploding and have less health, as well as the Hygieia having less health. So that may turn out making the fight a little easier overall.

I heard turn 2 was ninja buffed as well. JP team needed 4 healers to keep up with enrage.

I heard turn 2 was ninja buffed as well. JP team needed 4 healers to keep up with enrage.Locke

Yep, enrage hits for 3k and pulses 33% faster now.
I've heard groups still making it with 3 heals though.
As long as the sch keeps up sacred soil and the two whm use C3, you can keep up with it. But mana will become an issue sooner. Bard will probably have to have a large mana pot to keep ballad up the entire time.

Apparently that was an unintentional change and they'll perform an emergency maintenance to address it. That came from a google translate of a recent post by Yoshida.

http://forum.square-enix.com/ffxiv/threads/71744-NA-FINAL-FANTASY-XIV-A-Realm-Reborn-Hotfixes-%28Feb.-21%29?p=1889834&viewfull=1#post1889834

Edited link as they moved the info to the forum.

Fixes.

Hrm.. but they didn't say anything about HP of conflags or Snakes.
Wonder if people were just speculating about those changes.

Yoshi-P comments on Coil

http://forum.square-enix.com/ffxiv/threads/147137-T5-Nerfed?p=1890031&viewfull=1#post1890031

After winning the fight as both White Mage and Scholar I want to give my own input from the healers' point of view since I know it can be quite stressful. Others can feel free to give their input if they want.

Preparing for Death Sentence:
As a general rule Twintania does 3 plummets (which come between 3 auto-attacks each) between each Death Sentence. You can use that to better prepare Stoneskin + Adloquium timing. Having a Regen up if possible can help too.

When Death Sentence actually happens:
If possible the WHM should pre-cast Cure II - with good timing, it'll go off before the healing debuff takes effect. If it does and a Sch gets Lustrate up immediately after, it'll make things a lot easier to keep the MT up. While the debuff is up cures are very weak so it's important to get the MT topped asap from abilities. Using SS from WHM can help a bit too. It's good practice to try to ensure 1 Lustrate + SS is all you need as it's important to manage Lustrate charges. If the tank's cooldowns are in a rough situation, two could be necessary.

During fireball/conflag phase:
WHMs need to focus on keeping everyone's HP as full as possible. Whether it be from medica 2s or Cure IIIs to each side, everyone's HP NEEDS to be topped for Fireball damage or you're asking for trouble. A SCH can throw in Succor too to help reduce damage a little. If they have a charge to spare for Sacred Soil, that's an option too. If anyone dies at all, their likelihood of dying from fireball damage is pretty much guaranteed so avoid it any way you can. If someone's weakened for any reason, put Stoneskin on them. Medica II is a great choice here due to conflags doing DoTs and with it up someone'd have to be pretty low on HP for them to die in the conflagrations. Virus should help with the damage as well.

Divebomb phase:
In short, do your usual. Try to prepare cooldowns like E4E for the times you know the tanks are going to get smashed (aka: 2-stacked vulnerability up, etc). SCH should use Virus on Twintania as soon as she re-appears. Try to ensure you have some HoTs here (whispering dawn/medica II) to help recover HP after Aetheric Profusion. As soon as it goes off, your tank will most likely get Plummeted so be mindful of that.

Twister/Dreadknight phase:
You need to be prepared to do the occasional solo healing here. Dreadknights will always target someone who's not #1/#2 on the hate list. Most DPS should be able to be kept up with the occasional Regen. Death Sentence is still as fun to deal with as ever so this is the time they should be more concerned with Lustrate charges or Benediction.

Final phase:
Take a breather, the hardest part's over. Keep the tank up as best as you can and keep the person who's in the third neurolink up. With proper reactions liquid hell shouldn't hurt too much but if it does do your thing. Just remember that it's not guaranteed for one person to always take hatch damage - be ready to go into a neurolink if you need to.

When Death Sentence actually happens:
If possible the WHM should pre-cast Cure II - with good timing, it'll go off before the healing debuff takes effect.

During fireball/conflag phase:
Medica II is a great choice here due to conflags doing DoTs and with it up someone'd have to be pretty low on HP for them to die in the conflagrations.

Divebomb phase:
Try to ensure you have some HoTs here (whispering dawn/medica II) to help recover HP after Aetheric Profusion. As soon as it goes off, your tank will most likely get Plummeted so be mindful of that.Fred Gimyajan

First off, the Cure II timing to hit after Death Sentence dmg but before the debuff applies is THE BEST!! The timing doesnt take too long to figure out. For me, I target Twintania as my Main target (use <mo> macros to heal) and watch the casting bar for Death Sentence. When the bar hits the "th" in Death I start casting and it has always timed perfectly for me. Everyones latency and spell speed may be a bit different so adjust accordingly. While this strategy works great. You must be very very careful to help top the MT off before DS hits. If the tank doesnt survive the initial hit then timing your Cure II wont be much help.

Fireball/Conflag is definitely the most intensive healing phase for Whm. Lots of AOE healing just as Fred mentions above. I prefire Cure III on the other group as they are about to get hit by fireball and prefire Cure III with surecast on myself when my group is getting hit by fireball. Fireball will almost 100% interrupt casting. I use Divine Seal early in this phase and make sure to keep Medica II on the group and regen on the MT as this healing applies while people are in the conflag (I think Fred mentions this). As whm I will blow a TON of mana in this phase but dont worry because your bard should hopefully be casting ballad the second the neurolink drops and they are in the divebomb spot.

Divebomb phase
A couple tips I wanted to add was that you can cast a cure at BOTH the top of the hill and the bottom of the hill if you are fast enough. That timing can be tough but getting one cure off between each divebomb should be pretty easy. Fred also mentions getting an aoe HoT such as medica II on the group BEFORE Twintania's Aetheric Profusion (2hr) which works out great. I used to try and swift cast Medica II after Twintania's Aetheric Profusion which is also an option but isnt necessary. I also like to Stoneskin the MT while im sitting in the neurolink because I'm pretty sure it is not affected by the neurolink debuff (correct me if im wrong). Also be sure to stoneskin anyone that has weakness or lingering debuffs from snakes dying.