Using tranquility in higher m+ (8+ and above) I always find myself very uncomfortable - Either people drop faster than it heals or tank is getting spanked while others are getting up - Sometimes I even stop casting in order to keep tank alive - In ideal situation on very big pulls and expected big aoe group damage I can prepare group with hots and wild growth if necessarily then go with the tranquility, but on some mods where people suddenly start dropping extremely fast, I always find myself panicking what to do - I tend to fast wg with essence of ghanir, cw on tank with swiftmend (I have legendary bracers that extend hots) and then go with tranquility. However, sometimes I skip tranq and just fast spam double rejuvenation with cultivation talent on party - It gives me more control and I can dispel or ironbark target if needed.
What do you guys do, how do you manage tranquility in m+?