Healing by doing damage is definitely something other MMOs offer, which of course potentially fits in with the OP's request for darker themes as well as the general demand for healer dps.
I don't care about edginess as a healer but I do worry that they basically made AST as a "half-WHM"/"half-SCH" with buff cards. SE will need to come up with some different themes/mechanics if they add a new healer job in 5.0 to avoid redundancy.
To avoid imbalance there would need to be some limitation on the duration or effectiveness of a needs-to-dps-to-heal job, maybe something like a heat gauge for Machinists or a need to flip from one resource to another like BLM. This need to ramp up and cool-down would provide a different kind of challenge for healers whether it is done up in goth/grim themes or in fluffy puppy rainbow power.



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