A-TIER | BUILD BLOODMAGE FLESHWEAVER (@ascensionsidekick) | ASCENSION CoA

Build Bloodmage Fleshweaver Ascension CoA
Fleshweaver
health-cost casting Pooled Vitality Vampyr's Kiss Lana'thel

Fleshweaver is the sacrifice healer: every spell paid for in health feeds Pooled Vitality, Vampyr's Kiss bleeds keep the engine running, and Gift of Lana'thel converts Spirit into power. It literally spends itself to keep the group alive — the highest-skill-ceiling healer in Conquest of Azeroth.

Rate this build
Share your opinion on this spec: rate it across 4 game situations. Once enough votes come in, the community score influences the tier shown in the build rankings.
📊 Build
🏰 Dungeon
4.0
S
🐉 Raid
4.8
S
🥊 Arena
3.8
A
🌍 BG & Open World
4.3
S
WEIGHTED TIER A
4 votes
The community's weight grows with each new vote.
Dungeon
Raid
Arena
BG & Open World
Signature Spell
Pooled Vitality

Spells that cost health grant a stack of Pooled Vitality, stacking up to 10 times. Mortal Form spells that cost Rage consume those 10 stacks to fire empowered.

Retail Feel

Closest to Discipline Priest, with a dash of Blood DK bolted on. The core identity — build a resource by attacking, spend it on shields and instant heals, with a signature ability that damages the enemy while healing the group (Heartbreak) — echoes the Atonement pattern. Blood Veil is its Power Word: Shield analog, and Fleshcraft (a big chunk of max HP restored instantly) is its Pain Suppression-tier panic button. Add paying your own health to cast for Rage, amplified by Sanguine Essence, and you get genuine Blood DK self-cost texture stapled onto a Disc-style chassis — no retail healer runs an Atonement-style AoE loop off a Rage-from-health-cost economy like this.

Role, tiers & resource
B
Dungeon
Not measuredInstanced small-group content
S
Raid
Not measuredToo few logged fights
A
Arena
Community voteAverage of 4 player ratings
A
World Battlegrounds
Community voteAverage of 4 player ratings
RoleHealer / Support
Primary statSpirit
ResourceRAGE

Ranking updated on August 17, 2026

These talents are a PvE configuration. The Arena and Battleground grades shown above rate the specialisation’s PvP potential — not this tree.

Stat Priority
PvE
Spell Power (every heal — Hemoglobe, Sanguine Mend, Dark Liturgy, Crimson Tide — scales directly off SP) Spirit (Teachings of Lana'thel converts Spirit straight into spell hit and spell crit rating, on top of Hemoglobe/Aortic Aegis's own Spi coefficients) Stamina (pays for the health-cost casts — Gorge, Suture, Vampyr's Kiss, Dark Liturgy — and co-scales Hemoglobe) Haste (more frequent Hemoglobe pulses/Crimson Tide windows in a dot-transmute healing style) Critical Strike Intellect (no mana is ever spent, so Int's only value is incidental)
PvP
Resilience Stamina Spell Power Spirit Critical Strike

A pure sacrifice-healer whose costs are Rage and raw health rather than mana, so Spell Power and the Spirit that fuels its Stamina/Spirit healing coefficients and converts into spell hit via Gift of Lana'thel outrank Intellect entirely.

Build Abilities
Class Tree
Blood Runs Cold Dark Mending Blood Rush Vampiric Pools Infected Blood Hemostasis Night Stalker Everhungry Dark Curse Crimson Etchings Life Scent Wicked Howl Blood Moon Scarlet Delirium Fleshcraft Alacrity Mortal Wounds Blood Pact Liquify Shadow Howl Adrenaline Bloody Sacrifice Predator Blood Veil
Specialization
Cursed Blood Red Thirst Infuse Blood Redistribution Raging Hunger Aortic Aegis Sovereignty Flesh Foundry Organ Orbs Gift of Lana'thel Crimson Scion Hemal Excision Vampyr's Kiss Dissipation Crimson Tide Lingering Essence Arterial Bind Dark Liturgy Spice of Life Consolidation Sanguine Essence Universal Donor Vitality For Later Blood-Cursed Weapons Fleshbending Invigorated Flesh Heartbreak Blood-Cursed Armor Waves of Blood Hemoglobe Excess Blood

See also: all Ascension builds · the Ascension talent builder.

Talent data: ascension.gg · Spec tiers & analysis: ascensionsidekick.com
Editorial rewrite, interactive talent tree, tooltips and fact-checking: KAMI LABS