Sage Healer Gear and Best in Slot — Endwalker 6.58

Portions of these gear sets can only be acquired by completing the current raid tier. A guide for the content can be found in the link below.

This set offers the most damage potential if you have the patch 6.55 relic weapon. Compared to the other relic option, this has very slightly more DPS, but may suffer from worse GCD alignment.

This set offers very slightly less DPS than the above set, but offers better alignment for your DoT. The 2.44 second GCD means that you will sometimes need to refresh the DoT early or late, but every other cast will be fairly well-aligned.

This set offers the most damage potential at the expense of having only base piety. This is generally fine in coordinated groups, but may feel the lack of piety if there are a lot of deaths or missed mitigations.

With more piety and a slower GCD, this option offers slightly more MP economy, at the cost of slightly less damage. This offers a reasonable compromise for all settings, allowing more raises and GCD heals when needed before running out of mana.

For the toughest of situations where many raises and GCD heals are required, this set offers even more MP economy than the 'Medium Piety' set. With an entire 594 piety and a 2.47 second GCD, this set should not run into any mana issues.

If you have access to up-to-date relics for patch 6.5, this will give you an edge on DPS. Just be aware that MP economy will be slightly worse than the other sets, as it only has the base amount of piety yet a faster GCD.

Another relic set, featuring a slightly slower GCD but more determination. While still only having base piety, this set will have slightly better MP economy due to the longer GCD time.

With efficient healing, this set is comfortable for general use. Using the Tomestone ring sacrifices an extremely small amount of damage for a significant boost to your MP, and a modest amount of HP. It can tolerate a few extra safety heals or a raise without much trouble, but it may not have enough MP depending on how much healing and raising you'll need to do. Plus, with the same 2.42 GCD as last raid tier, there isn't much adjustment/re-learning needed.

Portions of these gear sets can only be acquired by completing the Abyssos raid tier. A guide for the content can be found in the link below.

This set features 621 piety, an increase of 95 over the 2.42 set. Plus, the slightly slower GCD also helps reduce mana consumption. This set can last even longer before mana becomes an issue.

This set has even better MP sustain, with a whopping 741 piety and a nice slow 2.47 GCD. It will last quite some time even with a generous amount of raising and GCD healing. DPS checks in ultimates are not as tight as savage content, so don't be afraid to err on the side of caution and go with a higher piety set.

If you have an up-to-date relic, and are doing 6-1-1 stacks in the final phase, this is the ideal set. It has slightly less piety than the 3-2-2 sets, as 6-1-1 has significantly reduced healing requirements in the final phase. However, this set has more piety than the non-relic version, as it has a faster 2.42 GCD, compared to the 2.50 GCD of the non-relic set.

If you have an up-to-date relic, and are doing 3-3-2 stacks in the final phase, this is the ideal set. It has slightly more piety than the 6-1-1 sets to accommodate for the greater healing requirements of 3-3-2 over 6-1-1, but it has an edge over the non-relic sets in terms of DPS. Be warned that MP economy will be ever-so-slightly worse than the non-relic version, as this set features a 2.46 GCD instead of the 2.50 GCD on the non-relic sets.

If you do not have a relic, and are doing 6-1-1 stacks in the final phase, this is the ideal set. It has slightly less piety than the 3-2-2 sets, as 6-1-1 has significantly reduced healing requirements in the final phase.

If you do not have a relic, and are doing 3-3-2 stacks in the final phase, this is the ideal set. It has slightly more piety than the 6-1-1 sets to accommodate for the greater healing requirements of 3-3-2 over 6-1-1.