Quote Originally Posted by Aeron View Post
What aegis does is effective let you survive at lower max hps. They have eased this a lil bit by giving us vorseals. I would say that if you wanted to attempt to do endgame without aegis you would have to stack more hp to counteract the increased dmg that you are going to be taking, as well as once you hit 50mdt either through gear or shell that you also stack mdb. /run helps a lot when you know what specific type of element that is going to be cast against you, just use the appropriate runes and valiance.
Not really sure that's quite accurate. True, higher max HP does help accommodate for taking more damage, but the rate of damage taken is still important even if one had 1000x our current max HP due to whether the rate of damage taken is more than the healer's healing output, and whether the healer's MP can last the entirety of the encounter.

Another issue I've noticed is that -mdt% can be just plain hard to come by compared to -pdt%. I'm not sure hitting 50% mdt is exactly feasible for most alternative tanks.