Ultimately, having Phlegma as a refund would accomplish a couple things. First, it makes SGE a very consistent healer in the savage fights that actually push you to GCD heal, as your losses would be minimal. Second, it would make SGE a very forgiving healer for less skilled players who overuse E. Diagnosis and E. Prognosis.
Having said that, it's important to remember that of all the healers, SGE avoids their GCD healing the most, and really doesn't need to use it ever in every piece of content under savage. This means for many SGE players, this feature may as well not exist in in probably 95+% of circumstances. Having niche back pocket tools on a job is not necessarily a bad thing, of course, but way too much of healer design fails to provide engagement for the highest level of play and those that fall somewhere along the road toward that highest level of play. We don't need more tools and features that have little to no functionality in the vast majority of the game.
But I think there's some light tweaking we can do to this concept that can address this concern.
Let's take it from Phlegma and go back to Toxikon as your Addersting spender. Toxikon II is no longer a direct upgrade of Toxikon I. Toxikon I's potency goes from being the same as Dosis to a potency of 400--still a loss; however, we create some type of proc that causes Toxikon I to Upgrade to Toxikon II for one use not unlike PVP Toxikon, and Toxikon II's potency is 800. Or instead, Toxikon I's animation becomes Toxikosis, and Toxikon II is just Toxikon. Instead of boosting the DPS to 800, this proc allows Toxikon to trigger 1 use of the OGCD Toxikosis for another 400 potency, which helps with crit variance.
A possible area to include this proc aspect would be perhaps Toxikon combos out of Eukrasian Dosis to have this potency increase. I think including a new way to generate 1 Addersting at some type of interval, maybe every 60 seconds or so, could help lessen the amount of free E. Diagnosis/E. Prognosis healing this system would generate, as it could still be a problem if you are using Toxikon every 30 seconds, but a system like this would accomplish some of what your Phlegma suggestion is trying to accomplish, but also makes it something that is consistently a part of SGE's gameplay rather than something that is exclusive to Savage when playing SGE adequately.



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