I haven't healed this yet, but I've tanked it tons of times and I haven't failed at it in a while. Here are some general (mostly things to ask your tank to do) tips that should help.
- First boss. Ask the tank to pick up at least one of the adds whenever possible. I normally just throw a tomahawk at one so the DPS can focus one at a time. When tons start spawning at the end, the tank should still try to get aggro on 1 or 2 if he can. If you have a BLM or SMN, ask them to AOE LB near the end when 4+ dogs spawn. Since I've been doing this, the DPS get three stacks way less than in my previous attempts.
- Second boss. Designate a DPS if possible to destroy the speckled egg before it hatches each time and make sure they know that the priority is adds, then boss. Make sure the tank knows to run around the edge of the room when the boss flies to avoid the three AOEs.
- Third boss. Easy, but you should still ask the tank to pick up the adds. If your DPS is high, it isn't as big of a deal, but if not, the adds will swarm the healer and potientially kill them before the boss dies.
- Siren. As a healer, ask the tank to pick up the privates as both will normally always charge straight at you as the healer. Simply run behind the boss so the tank can Flash/Overpower them. I say this because you do not want the tank to tab around to tomahawk/lob. The tank needs to stay on the boss and be ready to stun all Lunatic voices. Make sure the DPS know that the priority is the sergeant (crawlers), then privates (walkers) and then the boss. If everyone is geared enough to not be one shot by the charge, just have everyone stack in the middle and AOE heal right after.
This dungeon, especially Siren is a group effort. If crawlers are stun locking you or the tank, if the privates are constantly beating away at you, if no one stacks in the middle for charm, if the Lunatic voice is never stunned, etc, it will be a horrible time and as the healer, you'll be blamed even if you are using Ensuna/leeches and trying to keep everyone topped off. The best way to get through it in my experience is to make sure to communicate and let everyone know what the priorities are.
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