Horrific Vision of Orgrimmar Strategy Guide – Patch 11.1.5
This strategy guide covers everything you need to know to complete the Horrific Vision of Orgrimmar in Patch 11.1.5. From managing Sanity and Madness debuffs to defeating thrall and clearing every zone, you will find detailed tips for each tier and boss encounter to help you succeed solo or in group runs!
Introduction
This guide covers the entire Horrific Vision of Orgrimmar run, detailing how to complete each zone, which enemies to prioritize, and how to manage Sanity while progressing. This Vision is divided into 3 tiers:
- Tainted Area (Tier 1) - 1 zone;
- Corrupted Areas (Tier 2) - 2 zones;
- Lost Areas (Tier 3) - 2 zones.
Whenever you complete a zone, you can use a teleporter to return to the entrance.
Tier 1 - Tainted Area: Valley of Strength
This is where you will start your run. It has the lowest Sanity drain (6 Sanity per second) and only one objective: reach and defeat Thrall.
Madness effects that you can get here include:
Madness: Bloodthirsty: Damaging enemies heals you for 1% per target hit.
Madness: Desynchronized: Time speeds up or slows randomly, affecting movement and casts.
Madness: Promised Power: Standing in power zones boosts your damage by 25%. Not standing in them reduces it by 10%.
Notable trash mobs are Voidbound Honor Guards that guard the entrance to Thrall. Interrupt or crowd control them
to cancel the effect of Horrifying Shout so that you are not feared into their cleave via
Break Spirit.
Thrall
Thrall will receive +10% health and gain a new ability for each side objective completed.
Zone Completed | Ability Gained |
---|---|
The Drag | ![]() |
Valley of Honor | Void Boar |
Valley of Spirits | ![]() |
Valley of Wisdom | ![]() |
Priority Order of Abilities
- Void Boar deals very high damage, burn it down as soon as possible.
Defiled Ground is a stronger version of Seismic Slam, dodge it quickly.
Hopelessness silences you until you collect a golden orb.
Cries of the Void applies a -second shield at 55% health, break it to avoid losing Sanity.
Tier 2 - Corrupted Areas
These zones drain 8 Sanity per second and include optional objectives. The Drag and Valley of Spirits belong here.
Madness effects that you can encounter here are:
Madness: Dark Delusions — A shadowy clone chases you and stuns you if it reaches you.
Madness: Entomophobia — Jump to get rid of bugs or you lose control.
Madness: Scorched Feet — Randomly leaps forward and leaves fire behind.
Madness: Shortsighted — Reduces your vision and combat range to 20 yards.
The Drag
The objectives here revolve around:
- Killing Annihilator Lak'hal while avoiding
Orb of Annihilation Lak'hal's beam knocks you back. Do not get pushed into other mobs.
- Speaking to Garona.
- Checking buildings for survivors.
- Killing Inquisitor Gnshal, by interrupting his
Void Torrent and breaking his
Cries of the Void shield.
Valley of Spirits
You must complete the following objectives in this zone:
- Help Zekhan clear the entrance by killing Decimator Shiq'voth (avoid Decimator).
- Enter the zone and destroy the four totems marked on the map.
- Free Zor Lonetree, Witch Doctor Umbu, Terga Earthbreaker, and Sian'tsu.
- Defeat the Oblivion Elemental. The Elemental casts
Hopelessness, run into golden orbs to remove your silence and avoid the shadowy waves cast by the boss.
Tier 3 - Lost Areas
These are the most difficult zones with the highest Sanity drain of 12 per second. Valley of Honor and Valley of Wisdom belong here.
The following Madness effects are present in Lost areas:
Madness: Haunting Shadows — Clone explodes and fears you.
Madness: Leaden Foot — Moving slows you down, stand still to recover.
Madness: Split Personality — Surrounded by illusions, touching them disorients.
Madness: Volatile Intent — Some damage reflects back to you.
Valley of Honor
The main objective is to kill Rexxar. You must kill Misha first at the entrance unless you can skip her.
Misha
The giant bear found at the entrance to the Valley of Honor casts Desperate Retching, which infects you and spawns pools.
Maddening Roar results in Mind Control and Sanity drain.
To effectively kill Misha, stay out of her range during Maddening Roar while playing solo. While in a group,
be careful not to cleave your allies when you become hostile.
Rexxar
Rexxar is one of the toughest bosses in the Horrific Vision of Orgrimmar. Here are some tips that will hopefully make the fight easier for you:
- Avoid
Mind Trap, as it results in a massive Sanity loss, stun, and damage.
- Interrupt boars'
Void Quills or kill them fast.
- At 40%, dodge waves of
Stampeding Corruption.
Valley of Wisdom
The objective here is to fill the bar to 100% by killing mobs, then defeat Vez'okk the Lightless. You will have to kill at least one Elite in this zone, either the Voidcrazed Hulk or the Coagulated Horror.
Coagulated Horror
Avoid the frontal cone Visceral Fluid ability. Step out of
Sanguine Residue to prevent healing.
Voidcrazed Hulk
Move away from Explosive Leap. Casters need to stop casting during
Howling in Pain.
Vez'okk the Lightless
- Move out of the
Defiled Ground (frontal) fast.
Ring of Chaos spawns a ring that expands from center, dodge it through gaps.
Unleash Corruption, occurs at 80%, 50%, and 30%, spawns adds, so kill them fast.
More About Horrific Visions
Find out more about Horrific Visions in our general guide!
Changelog
- 19 May 2025: Guide updated for Revisited Horrific Visions in Patch 11.1.5.
- 02 Mar. 2020: Guide added.
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