I play on US servers from UK with similar pings and have never had any issues. The only times it is noticeable are some raids and dungeon fights where enemy moves can sometimes clip you even when you're sure you moved out of the marked area in time. You get used to it and start to learn to move that little bit quicker, but aside from that it's totally playable. Not sure how it would be if you tried stuff like Savage/Extremes, but I tend to avoid that anyway.

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