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I haven't tried Blood Altar yet, but daedric mines has an opposite bug where after combat ends, they can despawn. Hopefully both are bugged and fixed soon.
Have not used it myself, but have had healers in group use it in dungeons. Seems to work just fine from what I've seen. Then again, I wouldn't notice if it sometimes doesn't spawn.
I've had it despawn maybe once or twice when combat starts but apart from that it works wonders when you don't have lazy players that realise this isn't WoW and we can't continually spam heal you because you refuse to block because it's a dps loss.
"Learn to dodge and block or you won't get healed" -Me
It actually works after you swap it out with a weapon switch, the only thing that does as far as I am aware. Just sits there healing the area even after it's no longer on the 5+1 bar.
I use it as a tank in dungeons. Use it right before a boss and it seems to work just fine. Don't think my party members realize what it does for them and how to benefit from it. I should prolly fill them in from now on.
I hate those gray wings at my back,
because they gave me too much pains in time of my born.
But, still i love them,
because they color is not white or black, but beautiful grey.
And who i am?
I am sinner, i am haibane.