Restoration Druid Healing Gear and Best in Slot — Shadowlands Pre-Patch 9.0.1

We do not believe a strict Best in Slot list is possible to make due to way stat weights work for Restoration Druids. Secondary stat are extremely close to each other with Intellect increasing the most per each item level. The optimal gearing strategy in this case would be to just equip highest item level pieces whenever possible, excluding trinkets and Azerite armor pieces.

Having said all that, there will be a few situations where item level upgrades will not be actual upgrades. Sockets are usually worth a bit more than 10 item levels, Leech on the first 2-3 pieces is worth about 15-20 item levels, Avoidance is worth around 10-15.

There is no recommended cloak for this raid, as players will have access to the Legendary Cloak, Ashjra'kamas, Shroud of Resolve. The gear below shows only the slots you can get definite Best in Slot pieces for. For the rest, you will have to use whichever items you have available with highest item level, Leech, and sockets.

Slot	Item	Source
Helm	Stygian Guise	Maut in Ny'alotha
Shoulders	Tentacle-Laced Spaulders	Residuum
Chest	Tortured Fleshbeast Cuirass	Carapace of N'Zoth in Ny'alotha
Ring #1	Logic Loop of Recursion	Operation: Mechagon
Ring #2	Rebooting Bit Band	Operation: Mechagon
Trinket #1	Forbidden Obsidian Claw	Maut in Ny'alotha
Trinket #2	Vita-Charged Titanshard	Ra-den the Despoiled in Ny'alotha

Make sure to check our Stats and Enchants pages to check how to fill the rest of your slots and what consumables you need.

You should be picking whichever combination will give you the most Intellect. There are a few exceptions listed below:

• Seabreeze is a unique weapon that provides Haste on proc, although a slightly lower average than an equal item level weapon would. It also has a very low proc rate and a rather long buff duration, which makes it very random. You should generally avoid picking the same item level Seabreeze over any other weapon.
• Neural Synapse Enhancer is a terrible weapon that you should avoid using. Self damage and below average amount of Intellect, even with optimal usage, make it worse than weapons even 10 item levels below it.
• Anu-Azshara, Staff of the Eternal drops from Queen Azshara herself. It has slightly more secondary stats than an equal item level weapon and the proc itself is really strong. In a typical raid fight you can expect it to be worth 15-20 item levels. If you have a Mythic version, it will outpace even Heroic level Ny'alotha weapons.

We will list notable trinkets that you should aim to get. For direct trinket comparison, use QELive made by Voulk.

• Forbidden Obsidian Claw (Maut, Ny'alotha).
• Humming Black Dragonscale (Wrathion, the Black Emperor, Ny'alotha).
• Manifesto of Madness (N'Zoth the Corruptor, Ny'alotha).
• Vita-Charged Titanshard (Ra-den the Despoiled, Ny'alotha).
• Fangs of Intertwined Essence (Avatar of Sethraliss, Temple of Sethraliss).
• Conch of Dark Whispers (Vol'zith the Whisperer, Shrine of the Storm).
• Ignition Mage's Fuse (Knight Captain Valyri, Tol Dagor).
• Lady Waycrest's Music Box (Lord and Lady Waycrest, Waycrest Manor).
• Sinister Gladiator's Medallion (PvP).
• Sinister Gladiator's Insignia (PvP).
• Unbound Alchemist Stone, Awakened Alchemist Stone, Peerless Alchemist Stone (Alchemy, crafted).

Four of the best trinkets you should aim to get: Peerless Alchemist Stone, Forbidden Obsidian Claw, Humming Black Dragonscale and Vita-Charged Titanshard.

Due to the nature of Mythic+ healing, players usually run at least one damage trinket. Other than that, you can use either one of the raid trinkets listed above.

For information about what Azerite traits to choose and what the best items are, see our Azerite page.