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Other specs use Death Strike to heal when necessary and not as part of their usual damage rotations (e.g. if the healer is out of mana and cannot keep you up) or, if having chosen the blood specialization, to generate Death Runes when needed. Its main purpose is to heal, not to deal damage.
While tanking, it may be best to wait until you take damage before using Death Strike; this will make the heal worthwhile, and spare your healer(s) some time and mana.
Patch changes[]
Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found.Patch 7.0.3 (19-Jul-2016): Death Strike to cost Runic Power instead of Runes.
Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found.Patch 6.0.2 (14-October-2014): Death Strike now causes healing that scales in effectiveness with attack power, instead of based on damage taken in the last 5 seconds. This healing is affected by Resolve.
Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found.Patch 5.1.0 (27-Nov-2012): Damage received from players (or player-controlled sources) no longer counts towards increasing the healing done by Death Strike.
Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found.Patch 4.3.0 (29-Nov-2011): Death Strike now heals the death knight whether or not the attack misses, or is dodged/parried. As a result of this change, Death Strike no longer refunds its rune cost if it fails to hit the target, as the death knight will still receive the healing effect.
Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found.Patch 4.1.0 (26-Apr-2011): Death Strike self-healing no longer generates threat.
Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found.Hotfix (2009-04-21): "Death Strike will now heal the Death Knight for 5% of his or her maximum health per disease on the target, up to a maximum of 15%. [1]"
Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found.Hotfix (2009-04-17): "The healing a Death Knight receives from damage done by Death Strike has been reduced. [1]" Healing changed to 5% of maximum health + 5% per disease, up to a maximum of 15% with 2 or more diseases.
Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found.Patch 3.1.0 (14-Apr-2009): Increased damage to 75% of weapon damage (up from 60%), reduced healing by 20% to 80% of damage dealt + 40% per disease (down from 100% of damage dealt + 50% per disease).
Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found./Lua error in package.lua at line 80: module 'Module:Inlinegfx/img_link_data.json' not found.Patch 3.0.2 (14-Oct-2008): Added.
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