Wiki - This is an extremely simple encounter that will test your gear and the sheer numbers your raid can put out. You will need one main tank and 1-2 Hateful strike tanks. If one is used healing on Hateful strikes must be very quick, or he will 1-shot the highest melee on aggro.
The main tank and the hateful tanks will run in first and will start taking massive damage immediately. Patchwerk will hateful strike the 2nd and 3rd players on his aggro list in melee range, starting with whichever has highest health. The hateful tank with most HP will therefore be hit the most. He will still melee the main tank, who will be first on aggro. At this point it is simply a test of killing Patchwerk before his berserk timer and keeping the tanks alive. You will need 36,111 raid DPS to do this. Patchwerk also does a soft enrage (Frenzy) at 5% health, this should only last a few seconds before he goes down.
Hateful Strike Patchwerk will use this ability at a 1 second frequency on the target in melee range with the highest HP who is also one of the top three on Patchwerk's aggro list. Cannot be used on the main tank unless there are no other targets. Does 53625 to 56375 raw physical damage which can mitigated by armor and parried/dodged. This is about 23,000 damage on a partially Naxxramas geared tank. This ability will add threat to the three most threatening on Patchwerk's aggro list.
MT attacking and being top threat on boss. - 1 paladin healer assigned I would say Axeum MT
OT: 2nd on threat - 3 healers assigned Masterabe
OT: 3rd on threat - 3 healers assigned Makaylaj
So basically once I get hit by hateful i'll have low HP and then 2nd hateful will go on Mak. then I should be top off and I'll get the 3rd and so on. but we need to make sure we're topped off. we will be getting hit for 23k-25k each hateful so no rooms for delay. Melee should click off any stam boost like fort etc. Melee should never be healed and needs to get hit by the poison to reduce your health to 50% before engaging, if you get heal by some fail healer run to the poison and call it out so you don't get healed. Tanks save cool downs for 5% for frenzy. Hopefully this give people an idea of what to do and clear this cockblocker. kthnx