Originally Posted by
Reniat
The only time that absolutely requires cooldowns is when Meng reaches high insanity during Crazed and does considerably more damage. Make sure you have some form of cooldown active from about 70% insanity until he transitions to Cowardice, and consider stacking multiple CDs when he reaches 90+ insanity. Make sure you are not spreading diseases in any way during Maddening shout, as your raid WILL be affected by your Weakened Blows. This includes Rolling Blood. I recommend not using RB for this fight for that reason. On the same token, consider grabbing Gorefiend's Grasp so you can grab all your teammates together for AoE for that mechanic. There are no preferred t75 options for this fight, so pick the rune regen talent you prefer.