The totem is a black jagged shard that lands with a thunk. Unless people know what it is, they are more likely to run away from it. It is stationary and has a small radius, so it does not work with reactive movement like say... moving away from bogdans fire rain. I find this ironic. The only benifit over nearly any other set would be if your group is stationary and standing on top of each other. And if you are using enough heals to proc it at a reasonably reliable rate, you are likely already overhealing, so it wont proc anyways.