Prismatic. If you do the math on item budgets, you will find that on most sources of health/stam for every 1 stamina you give up, you gain 1.1 health. With Pristmatic, for every 1 stamina you give up you gain 1.1 health and 1 magicka(ie you are gaining magicka basically for free). If you care about health at all, prismatic is the first way you should be picking it up.
A lot of pvpers run many prismatic for the resources as drawn out fights can be a resource battle, or just for the immediate health benefits.
I run a quite successful stamblade build with 7 pris and many people say that'I'm gimping my damage by losing 2 k stam, but the extra 2k mag means I can use cloak more and get my 100% crit bonus, plus the 2K health has saved me at times, so I lose nothing and gain many additional ways to win/survive.
If you run in a group or have a specific functional playstyle, you might find it not needed, but sometimes balance>damage, ergo; the adage "you can't DPS when you're dead".
Some people will play for pure damage and not care if they die. I play for kill streaks.