Post Details

Healer Build – Fist/Pistol

Build created by Ciritty
Posted by Ciritty on February 5, 2014
Last updated by Vikestart on October 12, 2015
  • Abilities
  • Gear
  • Rotation
  • Effectiveness
TypeDungeon Healer Build
AP Cost749
AP CostQL 10 Uncommon
  • AbilityNurture
  • AbilityCreature Comfort
  • AbilityCauterise
  • AbilitySurgical Steel
  • AbilityBackup Drone
  • AbilityWin-Win
  • AbilityRadiance
  • AbilityHealing Sparks
  • AbilityMaking Amends
  • AbilityShadow Medic
  • AbilityBrawler
  • AbilityMad Skills
  • AbilityPredator
  • AbilityEmpowerment
Download ModVDM Import String
Suggested Rotation
Gear Stats
2000Heal Rating
600Critical Rating
400+Crit Power
You’ll want 650 crit rating on gear (150 from mad skills), which should be 21% crit chance. All your other glyph points can go into crit power.
Head:Signet of Benediction
Majors:Signet of Amelioration
Fist Weapon:Signet of Temperance

The Polaris

Hell Raised

The Darkness War

Hell Fallen

The Ankh

The Facility

Hell Eternal

The Slaughterhouse

The Penthouse

The Manufactory

Manufactory Breached



New York

Agartha Defiled



El Dorado







This is to my knowledge the most basic and most effective fist healing setup when it comes to healing output, it’s also very easy to learn and master. Success guaranteed!


Pack Leader & Alpha wolf

This combination will serve your group well in Hell raised nightmare difficulty.

Suggested abilities to replace them with will be Win-Win and the passive Predator.


Facing big mean hard hitting tentacle faced entities that looks an awful lot like Cthulu?

This ability will give your tank a quick fix in times of need.


Because you can’t stack the same buffs on the same target you want to use as many different healing over time effects, this build will rotate 5 healing over time effects resulting in a lot of empowerment procs which will then be doing most of your healing.

Empowerment can only occur once per second as such you will generally be fine around 20-24% crit chance, allowing you to spend your remain glyph points on crit power.

Need more healing? – Backup Drone.

Need more healing? – Radiance

Something to cleanse? – Win-Win

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  • Bobby Corwen

    Why does this use knuckle down and not something like hot iron?

    • Ciritty

      Knuckle down provides more healing-
      Because you are using 1 resource consumers and builders to heal and hot iron only affects direct healing.You simply get more healing from knuckle down opposed to hot iron! :)

  • Bobby Corwen

    So knuckle down does affect heals? I seem to be confused by its tooltip D:

    • Ciritty

      Sadly tooltips in TSW aren’t always completely correct.. best way to check these sort of things is by thoroughly testing every passive that may be helpful.

      Knuckle down is a bit easier to test because you can check the numbers on your fist heals when you slot/unslot it and notice a difference ^^

  • Hurp

    With Mad skills, is there a bug where the crit chance only shows on offensive stats? It seems to me that it won’t apply to healing stats at all.

    Thanks for all the builds you’ve shared Ciritty c:

    • Ciritty

      Last time i checked it did add to my healing crit chance, i will take a look next time i’m online!