Patchwerk Encounter Guide: Strategy, Abilities, Loot

Patchwerk is the first boss of The Construct Quarter to be faced in Naxxramas, and is considered a "gear check" encounter. In fact, due to the overall simplicity of the encounter beyond its damage and healing requirements, fights that similarly feature few mechanics have come to be known as "patchwerk"-style bosses!

• Assuming that Hateful Strike is only being cast on tanks, they will be the only targets in need of healing. Do not assume that the amount of healing required will be low, however.

• If you are worried about being hit by Hateful Strike, consider briefly stepping into the nearby slime to reduce your health.
• Watch your threat carefully to make sure you do not get hit by Hateful Strike.

• You will want to bring a third tank when fighting this boss in 25-player mode.
• Remember to take advantage of a Rogue's Tricks of the Trade and a Hunter's Misdirection to help maintain threat and ensure that you are targeted for Hateful Strike as an off-tank.

There is a reason that an entire style of fight featuring minimal mechanics was named after Patchwerk...

• Hateful Strike — Patchwerk will inflict a heavy amount of Physical damage to a target. this target is chosen as the player with the highest health out of the top 3 (or 2 in 10-man) players with the highest threat that are in melee range and are not the active tank.
  • In other words, if you are doing a lot of damage and are at full health, you will likely be the Hateful Strike target.
• Frenzy — Upon reaching 5% health, Patchwerk will Enrage, gaining 40% additional attack speed and dealing 25% more Physical damage.

The key mechanic to focus on throughout the entirety of your fight with Patchwerk is Hateful Strike. This attack will only be relevant to melee DPS and tank players, meaning everyone else needs to only focus on doing damage and healing. With that being said, there are a few things to remember as a melee when it comes to not being hit by this mechanic:

• Hateful Strike will choose the target based on the top 2 (or 3, in 25-man) players on the threat table that are in melee range, but it cannot target the active tank. This means that so long as the next-highest player(s) on the threat table are tanks, you are safe.
• Hateful Strike will additionally choose the player that has the highest health among those high-threat options. Although there is no other damage occurring on this fight, you can still lower your own health by standing in the nearby slime. By doing so, you can increase your margin of safety if you randomly increase your threat above a tank player's.

With these tips in mind, Patchwerk should just become a matter of making sure his health runs out before any tank player's.

Item	Type/Slot
Blade of Dormant Memories	Main Hand Dagger
Hatestrike	One-Hand Sword
Drape of Surgery	Cape
Sullen Cloth Boots	Cloth Feet
Contagion Gloves	Leather Gloves
Retcher's Shoulderpads	Mail Shoulders
Gauntlets of Combined Strength	Plate Gloves
Abomination Shoulderblades	Plate Shoulders
Tainted Girdle of Mending	Plate Belt

Item	Type/Slot
Split Greathammer	One-Hand Mace
Arrowsong	Bow
Hero's Surrender	Shield
Surplus Limb	Off-hand
Strong-Handed Ring	Ring
Ruthlessness	Ring
Lost Jewel	Ring
Sand-Worn Band	Ring
Seized Beauty	Ring
Thunderstorm Amulet	Neck
Fool's Trial	Neck
Heritage	Neck
Chains of Adoration	Neck
Totem of Hex	Totem
Libram of Tolerance	Libram
Boots of Persuasion	Cloth Feet
Sash of Solitude	Cloth Belt
Boots of Septic Wounds	Leather Feet
Belt of the Tortured	Leather Belt
Gloves of Calculated Risk	Mail Gloves
Girdle of the Gambit	Mail Belt
Crude Discolored Battlegrips	Plate Gloves
Fleshless Girdle	Plate Belt
Waistguard of Divine Grace	Plate Belt

Patchwerk is just one of the 15 encounters present in the Naxxramas raid. If you would like to learn more about the others, or would like to see the loot tables of every boss at the same time, please see our other pages for the raid below.