Healing Assignments for Resto Druids

broccoli-banner

Perhaps more than any other healing class, Wrath of the Lich King has revolutionized the way druids heal. I’m going to take a bit of a look back to where we came from as a way to help understand any troubles druid healers might face at present when we try to figure out what our role in raids should be.

Back in the “Good” Old Days

I came of age as a healer during the BC raid content, and I think part of me will always missing rolling Lifebloom stacks on four different tanks during the Hyjal trash waves. Lifebloom spam may have been widely criticized, but at the time it was effective and felt very dynamic for the player. The timing was tight enough to require tank-specific macros, which I miss, because I could always change their icons to a pig whenever I got mad at them (sorry, Brio). However, when healers argue now that they don’t want to be locked into a rotation, they’re probably thinking of something like old-school LB rolling with horror. That was a rotation, all right–but it left me dizzy. I had to keybind Lifebloom twice–both to my mouse clickwheel and to F. The “F” was for when I needed to refresh while turning with the mouse. At the time, there was no way to increase the 7 sec Lifebloom rotation, and the penalty for letting the stack fall off was fairly severe. I never ran into mana problems, but sometimes the tank would take more damage than I liked if their stack slipped off, and I had few ways to play catch-up. If one tank’s stack went, then most likely all four would.

Even some boss fights made Lifebloom spam worthwhile. On Illidari Council, I used to assign Bonkers to roll LB on three tanks, giving him 1 GCD per cycle free to do “whatever he wanted.” Let me add that the healing buffer Bonkers provided to three of the tanks won the fight for us on more than one occasion. Why did I give the assignment to Bonkers and not myself? Because Bonkers is quicker than me. My assignment, keeping up the group on Malande, was a lot easier. The odd thing is, these kinds of assignments seemed great to Resto Druids at the time–1 GCD free? That’s amazing.

Now that I think about it, the Good Old Days don’t seem so great after all.

Broccoli, v. 3.0

Patch 3.0 brought new tools for the druid healer, offering flexibility where before we had none. However, it strikes me that many Broccoli Stalks might be a little bewildered by all our new toys. And if we’re confused, imagine what it’s like to do healing assignments for a resto druid these days. A few days ago I came across this topic on PlusHeal forums, posted by Siha of Banana Shoulders:

So, I’m the healing lead for my guild, and it usually falls to me to do healing assignments.

I’m having some trouble deciding how best to make use of resto druids. I know in TBC I always used to use them for a multi-tank assignment, keeping a bunch of people hotted up with Lifebloom, but I’m not really on top of all the resto druid changes in WotLK yet.

The talented Siha, as always, gets right to the point with her post. I replied in the topic, but I think that the question has enough merit to warrant a full-length post.

So, what do we do with the newly-versatile druid? After looking at my own performance and those of my Cruciferous Vegetable buddies in Conquest, I am convinced that Resto Druids can be assigned in two different ways for Wrath content. I’m going to showcase a couple of meters-topping druid performances to show just how versatile trees are these days

Raid Healing

This assignment is the most obvious for a resto druid. Wild Growth, due to its higher total healing and it’s status as a heal over time spell, suffered less from the recent nerf than Circle of Healing did. With Rejuvenation, Wild Growth, and perhaps a glyphed Healing Touch in the mix, druids have a powerful toolkit to deal with raid damage.

Let’s take a look at the meter breakdown from an expert druid healer on Gluth, which features heavy raid damage:
s13-meter

Now, the meter % alone might not mean much, but let’s factor in healing assignment. Both S13 and I were assigned to heal the kiters on Gluth, and we have similar gear. Why did he outperform me? Let’s take a look at the abilities breakdown.
s13-breakdown

Take a look at S13’s Healing Touch percentage and the amount it hits for on average. That tells me–even if I didn’t already know–that he’s using the Healing Touch glyph. The fact that he’s able to get so much healing out of a direct healing spell also tells me that S13 is fast. He’s really great at reacting to situations. Notice here that he’s also made a lot of use of Lifebloom–nerfed it maybe, but useless it is not. This WWS report is post-WG nerf, by the way. S13’s performance shows how little a healer has to rely on Wild Growth to be effective (and to post good numbers while doing so). If I were to take a look at S13’s targets, I would see a lot of healing on the 5 kiters, but also a decent amount on other members of the raid. S13 is a great raid healer because he’s able to pay attention to a lot of things at once and to accurately judge when he can go a bit beyond the boundaries of his assignment.

Tank Healing

Yes, I know druids have an AoE heal now. That doesn’t mean that we’re not still good at our old role, healing the main tank. I’ve just shown you the WWS from a druid who excels at raid healing. Now, I’m going to show you my own meter performance. I am a tank healer. That’s what I like, and that’s what I’m good at. I’ve been healing a warrior MT so long that I know how the damage hits and what I can do to fix it. I don’t pretend to be the best at anything, but if I’m in charge of healing assignments, I’m going to stick myself to a tank. It’s not usually very showy on the meters, but I’m going to give you a peep at the one fight in Naxx that does let tank healers show off–Patchwerk.
syd-meter

To understand this image properly, you should probably know that Silvia and I were assigned to heal the offtank, a druid, while S13 and Arktos were assigned to the main tank, a warrior. For the life of me, I can’t remember what Kaldora, our holy priest, was assigned to that day. The nature of the fight dictates that there is simply more healing to do on the off tank(s) than on the main tank, so an off-tank healer is going to post higher numbers. Be that as it may, this is nonetheless a good performance from me personally. Let’s look at the breakdown of what I did.
syd-breakdown

First of all, notice the presence of Regrowth. I use the Regrowth glyph, and a fight with heavy tank damage also shows it off. Meanwhile, I keep Lifebloom rolling on the primary off-tank. As for Rejuvenation, I keep it on both the primary off-tank and the backup. At higher gear levels, your raid is less likely to need two offtanks for Patchwerk. I used to post even more impressive numbers when two off-tanks took heavy hits. I would keep up my full hot rotation on the druid and use Rejuvenation, Swiftmend, and a Nature’s Swiftness/Healing Touch on the secondary off-tank. I always say that Resto Druids can heal two tanks as well as one, and it’s very nearly true. This is a lesson I learned in Zul’Aman, and it still serves me well on a multi-tank fight like Patchwerk. One thing an MT healer can never forget is the power of Swiftmend–it’s easy to ignore, but make yourself use it whenever you can. You’ll notice that Nourish is missing from my rotation, even though I have the 4pc T7 bonus. Regrowth is simply better if the damage is high. I will use Nourish on fights where Regrowth might be overheal, or on long fights that might stress my mana.

My message to healing leads is this: resto druids can tank heal. You might think that only a paladin or discipline priest will work, but don’t discount the resto druid, particularly one who’s used to this job. We may have a discipline priest solo-healing the MT on Sarth 3D, but that doesn’t mean a resto druid cannot be assigned to the task. In fact, some days I want to arm-wrestle Mallet for the job.

Glyphs and Talents

As you can see from our performances, S13 and I, despite having almost the same gear, are very different healers. There are slight differences in talents and glyphs that support each of our preferred roles. Here are my thoughts on how to set up a resto druid to excel at either raid healing or tank healing.

Raid Healing

In terms of talents, I suggest Tranquil Spirit to make Healing Touch and Nourish more efficient, a fully talented Gift of the Earth Mother, and perhaps Naturalist for the shortest Healing Touch cast time. As an alternative, you might put either 1 or 2 points into Improved Tranquility. I find this spell very useful when I can remember to use it. It shines on any fight where the raid is fairly close together and AoE damage as high–I’ve used Tranquility to good effect on Loatheb, Sapphiron, and OS3.

To heal S13-style, you will absolutely need to glyph Healing Touch. I am extremely impressed with the HPS of this spell, and it only gets better as your gear scales. In addition, we can all afford the mana at this point. S13 doesn’t run OOM any more than I do. The raid healer has some amount of choice in the other glyph slots. I suggest Swiftmend and Innervate, but if you find that you never use Swiftmend, Lifebloom will also work. The Regrowth glyph, while good in and of itself, won’t do much for you if you’re never assigned to tanks.

Tank Healing

In terms of tank healing talents, the most important one to have is Nature’s Splendor from the Balance tree to extend HoT duration. However, all raiding restos should have this talent. I also use Tranquil Spirit to support my Nourish (in case I ever use it), a fully maxed Improved Regrowth, and Gift of the Earthmother for easier HoT refreshes. I do not have Living Seed at the current moment. It accounted for less that 1% of my total healing when I had it. If I get enough haste to remove points from Gift of the Earthmother, I may try it again. I have a feeling that either 1) Living Seed will do more healing in Ulduar or 2) it will get some sort of buff in the future. As for Replenish, either build should skip it because it’s endlessly terrible, but the tank healer especially does not need it.

In terms of glyphs, I use Swiftmend, Regrowth, and Innervate for main tank healing. The only debateble choice here is Innervate. I prefer it over Lifebloom, but Keeva of Tree Bark Jacket, who also main tank heals often, writes very convincingly in favor of the LB glyph in this recent post. A main tank healer should not glyph Healing Touch. It’s more useful in the large version paired with Nature’s Swiftness.

Conclusions

We’ve come a long way from Lifebloom spam. Whether we’re set to healing tanks or the raid, druids have a variety of techniques now to support their chosen role. We can do it all–just not all at once. If you’re a healing lead, it’s important to get to know your healers. With the new diversity of the druid class, skill and preference start to weigh heavily on how you should assign your druids. So, why not ask them what they like, and what they are good at?

Resto Shaman: INT vs MP5

This is a guest post by Chloebelle, a Resto Shaman helping you decide between MP5 or Int as the stat to aim for

There is something that feels really dirty when you start stacking intellect. Like that’s what you would do if you knew nothing but what was on the WoW Tool Tips.

For so long MP5 was vital to ensuring you could last an entire fight. Now, thanks to Replenishment, intellect has stepped into the spotlight.

Replenishment restores .25% of max mana every second. If you have an 18k mana pool then you are getting 45 mana a second or 225 extra mp5. If you have a mana pool of 20k then you are getting 50 mana a second or 250 mp5. That is a lot of additional mana.

Solely looking at gems, check out what intellect could do for you:

Ignoring socket bonuses – if the average person has 7 sockets (not including meta) all gemmed with blue quality intellect gems they would have 123 (including 11 with talent) intellect, 1845 mana, 18 spell power (with talents), 1.5% to crit and 23 extra mp5 from a replenishment buff.

If you gem all your sockets with blue quality royal twilight opal then you have 63 sp and 21 mp5 (but you don’t rely on the buff). Less mp5, less mana, less crit, but 45 more spell power. If you socket all 6 mp5 gems, then you would get 42 mp5. I know it’s not realistic to think that you would socket all one way or another – but just as an idea.

Don’t forget that shamans also have Water Shield and mana stream to that will boost mp5 another 185 at least. That doesn’t even count talent points and glyphs that would increase it even more. On top of this, our gear has a great deal of MP5 on it already. Don’t waste a gem slot on 3 or 6 mp5. Use the slot to increase your intellect and let your raid make up do its job. Let the Ret Pallies, Hunters, and Shadow Priests handle your mana regen while you concentrate on healing.

As you gear up you are going to notice that you are rarely going to run out of mana. If this is the case, you can start replacing some of your intellect gems for haste or crit or more SP, depending on how you like to play. Chain heal healers will most likely enjoy haste, while Lesser Healing Wave and Healing Wave healers will most likely enjoy crit.

If you are guaranteed to have the replenishment buff – socketing for intellect is the smartest solution.

On the other hand, if you don’t have the buff – your larger mana pool will likely not make up for the mp5 and SP you will miss.

Chain Heal Rises as Circle of Healing Falls

This is a guest post by Lodur, a blogger from Way of the Totem. Today, he examines the nerf to Circle of Healing, the impact it will have to Resto Shamans and how they may need to compensate.

The patch notes can be found here: PTR Patch Notes!

This is going to be important to us in several ways, not least of which is the change to some of the other classes. I’d like to offer my opinion on it. Let’s take a look at priests.

Holy: Circle of Healing now has a 6 second cooldown.

This is going to be extremely important to us. The fact that Circle of Healing is getting a 6 second cooldown is huge. My current experience with CoH raiding priests is they blow group healing out of the water. One of our Shadow priests rolled over to Holy to fill a gap for raiding in 25 man Naxx. With no gear change, he was able to blow past me in healing output while maintaining mana. Now I’m not suggesting that we need to be the kings of the roost, nor am I doubting the abilities of this priest, but it was a difference of almost half a million pure healing output over the next closest.

In a normal raid you would find a few percentage difference between the top 4 or 5. maybe 1-2% difference. Between healer in first and second was a whopping 6%. As someone who has poured over stats and combat logs after raids trying to figure out how to keep the tanks up while maintaining the raid’s health, let me tell you, that’s a lot. The higher the discrepancy between places, the more over-healing there is, the more mana issues during the actual encounter is, and so on.

This "nerf" to CoH to me, is an attempt to try to bring the spell back into line and make healing more consistent. I can’t say I didn’t see it coming, I do however think 6 seconds is going to be a bit much of a cooldownn, but only time will tell as the PTR is being run. I’ve been pestering my priests about it, so we’ll see what they say. In the meantime it means we should be preparing for another reliable group heal not being as powerful or present as it was before, we should be ready to pick up the slack so to speak.

I’ve gone on and on about the joys of haste, you can see it here For those that don’t remember there is a formula we follow to figure out the cast time of your spells and how it’s affected by haste. And look, here it is!

newcasttime

Importance of Haste Rating

If you want to spam your chain heals and heal a raid it’s time to start looking at your haste gear and to start looking at your glyphs.

First of all you should be shooting for somewhere near 350-400 haste. 340 haste with a Wrath of Air totem will net you a 2.2 second Chain Heal cast time.

Your goal should be around a 2.0s cast time on your chain heal.

This will allow for your Global Cool Down to be up but also allow you to keep a constant stream of CH casting. By using the formula above we see that 2.0 seconds = 820 haste rating, however one must take into account the haste around you in a raid. The trend of almost every raiding guild I’ve seen has been to include at least one Retribution Paladin, and lets face it, Balance Druids have come a long way since vanilla and have found their way into raids quite frequently.

I’m going to make the assumption that you’ll have at least a Ret Paladin. So we can assume you’ll have 350ish haste, Wrath of Air totem down and a Ret paladin, your chain heal will be 2.2 seconds. Not bad. If you snag yourself the all holy Egg (which currently does not have a cooldown on the proc) the proc will put you at a 1.9 second cast time. This is good as this thing procs off just about everything. You can see more about the egg proccing in my post here. Now the reason you want to shoot for a 2.0 second cast time is other haste effects. Heroism / Bloodlust give you 30% increase in your casting speed. If you push too much haste, when you use it you will push yourself past your global cooldown timer, causing you to trip over your heals and keeps you from being able to heal effectively.

Glyphs

To go with your haste gear you should also be looking at glyphs. If you are going to be raid healing I have three major suggestions.

  • Glyph of Water Mastery: Will help keep your mana supply coming in good order (30% counts for a lot more then you would normally assume),
  • Glyph of Chain Heal: Necessary. The extra target just makes the spell even more effective. This again allows it to claim the title as most mana efficient heal around.
  • Glyph of Earthliving Weapon This one is a must for a few reasons. First, the Earthliving Weapon ability can proc of any heal, and each target of Chain Heal counts towards it proccing. Second, is the fact that the egg procs off HoT ticks. So, with chain heal delivering Earth Living to everyone and ensuring you have 4 targets and more then likely a HoT up at all times, your egg should be giving you an almost constant 505 haste. Pushing you right at 1.9 – 1.8s chain heals constantly allowing you to keep that raid nice and topped off.

Mana Regen

Now I’m sure many of you are asking "but what about mana regen?"

MP5, the magic shaman stat, is still present. If you are collecting gear based on haste, much of it also comes with a healthy dose of MP5. With that said, it is well within reason to have around 350 haste while still being able to pull off close to 550 mp5 while in combat. Once you reach your haste number, start getting a few pieces with MP5 in spades and everything will be fine.

On the topic of MP5 we do have a change on the horizon that will help with this.

On the PTR currently we see these:

Healing Way: Now only one application is required to reach full benefit. No longer stacks.

Improved Water Shield: Lesser Healing Wave now has a reduced chance to trigger this talent WOOOOOO.

First, of all lets talk improved Water shield. On a crit of Lesser Healing Wave or Riptide It will consume a charge of water shield, giving you the mana return as if you were hit. This is fine and dandy but in the heat of a battle, there are times you won’t be able to give up the Global Cool Down to put it back up instead of healing. A reduction in the proc rate down from 100% is very very good as it allows the orbs to stay up giving use more passive mana regeneration, which will come out to more overall MP5 in the long run.

Second, the change to Healing Way means we only have to plop down one Healing Wave instead of the 3 we normally would have, which means we can conserve that mana and still get the full effect.

Front loading the effect was an amazing move on the part of Blizzard.

That’s it for my thoughts on this patch at this time. I’m currently waiting on a response from my priests as far as their input goes on the talent change, but in the meantime, be prepared to step up and fill the gap.

Happy healing!

Guest Post: Mana Tide – To-do List for the Level 80 Resto Shaman.

This is a guest post written by Devon.

guest-post Prologue

Click the link above fellow totemites, let the rejoicing begin. This position of power ensures Shaman buffs in the future (and hopefully a college football playoff); not even Blizzard can tell this guy “no”. Damn government just can’t keep its hands off, but in this case I’ll keep my trap zipped.

In preparation for the shaman revolution and my PvE aspirations I’ve compiled a quick gear list and to-do list for the chain healer in all of us. This can, and should, be started at late level 77 and 78. The goal is not to make heroics manageable, but to make you one of the best resto shamans in your guild regardless of your time in Naxx.

Print it out, tack it to your wall, and let it do the thinking for you. You know you want to.

*Steps 0-0.5 are preliminary. The rest should be completed every day until your desired epeen loot level is achieved.

Step 0:

Get your freak spec on.

Before respeccing I suggest getting your Icecrown quest achievement. It will get you the Cannoneer’s Morale trinket, Knights of the Ebon Blade rep, and Argent Crusade rep. Searing totem just doesn’t kill as fast as ye ol’ Stormstrike.

http://www.wowhead.com/?talent=hZ0xxIZxMezVxogkrIRt is my recommendation.

The 16 points in Enhancement are very solid. The following build has the restoration tree must-haves, everything else is just gravy (or filler you pessimists):

Must have talents click here.

Head over to the AH and grab your Glyph of Chain Heal, Water Mastery, Earth Living Weapon, and Water Shield. You should have already had the latter Boudreaux.

This oh-@#^& macro free of charge from elitistjerks.com:

#showtooltip Nature’s Swiftness

/stopcasting

/use 13

/use 14

/cast Nature’s Swiftness

/Cast Tidal Force

/cast Healing Wave

With this and rip-tide I’ve had no heroic troubles. This has the over-zealous rogue seal of approval.

Step 0.5

Where the little guy gets his totem.

Grizzly D. Adams will give you Totem of the Bay.

Dis one, it’s da best. Get 30 of these.

Step 1

What’s with the fat guard standing on the quest giver? Go do your Wyrmrest Dailies everyday until you are Exalted for the Grips of Fierce Pronouncements.

Drake Hunt at the Nexus. Raelastrasz 33, 34 coords. The harpoon has ridiclous range. If you don’t have your flying mount I recommend the western platform.

Defending Wyrmrest Temple at Wyrmrest Temple. The quest-giver is on the MIDDLE level of the temple. As with all dailies practice makes perfect, but I recommend renew and the sprint (press 4) every time they are up. For those going for time note that it only takes one dot and one flame breath to kill the drakes, pwn and move on. Happy hunting.

– Aces High. See comments here.

Step 2

Knights of the Ebon Blade make me think of emo kids at my high school.

Ebon Blade Dailies everyday until you are Exalted for your Kilt of Dark Mercy.

Icecrown dailies:

Repeatable Quest:

Step 3

Troll Pa’troll everyday until Exalted with Argent Dawn for your Signet of Hopeful Light.

The Troll Patrol quest is given in the Argent Stand of Zul’Drak. 3 of them are very easy, the quest form Alchemist Finklestein WOULD be difficult if you didn’t have this mod: http://wow.curse.com/downloads/wow-addons/details/easyserum.aspx

You get a bonus for doing Troll Pa’troll in less than 20 minutes, there should be time to spare using this mod.

Step 4

No moar dailies, so sayeth my sanity.

All in all I spend about 1.5 hours doing dailies. I try to keep my play time at less than three hours a day for personal reasons so another 0.5 – 1.5 hours lets me run an instance or two (good riddance UBRS). In addition to the loot list below I recommend doing the daily regular or daily heroic instances for the reputation and emblems of heroism. Much of the gear you get in this step each day will be a place holder for crafted epics listed in Step 5. Start with the Wyrmrest Tabard since those dailies require longer flights between quests.

Step 5

Ok, I can haz gold now.

As money permits purchase the following items or their respective mats as they show up on the AH:

Revenant’s Breastplate (Leatherworking): 12 Heavy Borean Leather, 12 Eternal Water, 1 Frozen Orb

Revenant’s Treads (Leatherworking): 10 Heavy Borean Leather, 10 Eternal Water, 1 Frozen Orb

Titansteel Guardian (Blacksmithing) – 6 Saronite Bars, 6 Titansteel Bars, 2 Frozen Orb

I haven’t gotten my guardian yet because I’m scurd of handing a stranger that many mats. Guild blacksmith has a wifey, no chance for me there. The two revenant’s pieces cost me about 1000 gold, which you should have after all that questing you did RIGHT? Quick aside: Lesser Healing Wave and its associated glyph rocks my healing socks.

Regards,

Devon

A Healing Druid’s Naxx-25 Shopping List

As many of you longtime readers are now aware, I have joined forces with Matticus and Conquest for Wrath of the Lich King. Matt is a hard taskmaster–even before we started raiding, he gave us homework! The nerve!

However, as a veteran of too many years in graduate school, I LOVE homework. Here is my Naxx-25 wishlist, dressed up pretty for the blog.

This list is as exhaustive as possible given the current information out there about Naxx. Given that it’s early, the loot table could be subject to change. The following list isn’t personal, per se–it’s a list of all the best stuff out there for restoration druids. I have divided it by bosses, using the typical order. There are many items that are shared across several bosses, particularly necklaces, rings, and cloaks. In that case, I’ve listed them only under the first boss who can drop them. This, dear reader, is your Naxx 25 Resto Kit–use it as a guide for all your holiday DKP purchases.

Anub’Rekan:

Swarm Bindings
Well folks, these are your bracers from Naxx-25. The selling point for this item is the spirit. Now, the crit is less optimal for us, and I wish I had a talent to turn crit into mp5. However, from here on out, you’ll be choosing between the lesser of two evils on your gear–heavy crit or heavy haste, neither of which the resto druid wants to stack to excess. For my Naxx-25 kit, I’m largely going to ignore these and work to get items that give me a solid amount of regen while casting. That means lots of spirit, but also some mp5, as the return on spirit is less than in post 2.4 Burning Crusade content.

Grand Widow Faerlina:

Chains of Adoration
This neck has a decent amount of mp5 and a healthy dose of stamina as well. It’s not perfect, but it will work for any healer. Most of your gear as a druid will have spirit, and in my mind it’s good to plump up your while-casting regen with just a little bit of mp5 as well. That said, this item is available from several bosses and I might let shamans and paladins take it first.

Seized Beauty
This item, like the Chains of Adoration, is available from multiple bosses, and it is likewise a multi-purpose item. I like it better than the neck, mostly because I’m used to having mp5 and not spirit in my ring slot. Once again, something you can feel safe passing on the first couple of times until the mp5 junkies in your healing team have one.

Tunic of Prejudice
This item is simply great. Where I can, I’ll take haste over crit. The druid healing spells that can crit are few: Healing Touch, Nourish, and Regrowth. However, if you can get enough haste, you might be able to take some points out of Gift of the Earthmother and put them elsewhere. I would personally rather have mp5, but in this expansion, mp5/spirit items seem to have gone the way of the dodo.

Maexxna:

Cowl of the Perished
The best feature of this item, aside from it’s cool name, is a whopping 72 spirit. It has crit in an equally stunning amount, so I might let a boomkin have it first.

Mantle of Shattered Kinship
With haste and spellpower, this is another decent buy for a resto druid. However, if you’re bidding, bid low, and if you can pass, you might want to do it. It shows up not long before the shoulder tokens, which will get you something better. However, if you’re not a set bonus junkie, take it and let others have the token.

Shawl of the Old Maid
This is another multi-boss, multi-purpose healing drop. The spirit will serve a druid well, but I might let holy priests have it first, as they will get more mileage out of the crit.

Matriarch’s Spawn
This one is an incredibly cool-looking spirit-haste combo that will have you wishing that offhand items showed all the time. A solid buy for your DKP, so feel good about splurging on this item. Whether you choose to gear for staves or main hand/off hand should probably depend only on what drop you happen to get first. Once you have a decent combo, let others in your raid take these things.

Wraith Strike
Even though this weapon looks really cool, it’s just not made for resto druid. It spends its budget on both crit and haste, making it attractive for both Elemental Shaman and Moonkin Druid. Take it if it would otherwise rot, and if you end up with it, keep it for your moonkin set but replace it when you can with a one-handed mace that has either spirit or mp5.

Noth the Plaguebringer:

Accursed Spine
This one is similar to Matriarch’s Spawn with crit instead of haste. Matriarch’s is better for a healer, but you can take it if it would otherwise rot.

Belt of Potent Chanting
It’s got the ubiquitous crit, but as set pieces aren’t an option for a belt, go ahead and pick it up, especially if your moonkin friends already have it.

Lost Jewel
Even though it has crit, of the rings, this one looks good to me because it’s also got spirit. Also a shared drop, this is one that’s good enough for Resto Druid that I might go ahead and take it early.

Heigan the Unclean:

Cloak of Averted Crisis
Here is another solid cloak that’s shared by several boss loot tables. It’s another decent option–you just have to choose whether you want mp5 or spirit on your back.

Gloves of the Dancing Bear
This is a really nice item with spirit, a red gem slot, and a spirit bonus for socket matching. Even though it’s not a tier piece, it’s really good. My only suggestion is that it should have been named “Gloves of the Dancing Tree.” It does have crit, but assuming that you use the best gem available to you, I think the socket gives the item an edge.

Shroud of Luminosity
This is one of the few non-spellhit items that you might argue is truly offspec for a druid healer. Sure, you can wear it, but it spends its item budget on both haste and crit, which makes it a poor buy for your DKP. Take it only if your casters and fellow healers don’t want it.

Loatheb:

Shoulders token, yielding the Valorous Dreamwalder Spaulders
Of course you will want all your tier pieces. However, I urge you to see them as one option among many. The bonuses–particularly the 4 piece, which plumps up a mostly-unused spell–are just window dressing. They are not obligatory. If you already have something good in a slot, pass to those who do not.

The Impossible Dream
Now, Don Quijote is actually my favorite book. However, I strongly dislike the musical Man of La Mancha, even though I know all the songs. Right now, that horrible ballad is right there, in my head, and in less than 30 seconds I’m going to start singing it and scare the crap out of my cat, who disapproves of off-key arias. Anyway, this is a great item for resto druids. Take it at your own risk–the WoW devs will not compensate you for lyrical madness.

Instructor Razuvious:

Nothing unique from this boss, but there are several items from the shared loot table.

Gothik the Harvester:

Idol of Awakening
While I’d rather have an idol for Wild Growth, Regrowth or Lifebloom, I always suggest that players pick up the available idols whenever they can. Even if you won’t use it now, you might later.

Shackled Cinch
For my money, this is the best resto druid belt in Naxx. Go ahead and pick it up with confidence.

Four Horsemen:

Chestpiece token, yielding Valorous Dreamwalker Robe
Once again, a great piece, but there is another chest option to keep in mind.

Damnation
Something tells me–the name perhaps–that casters will drool over this staff. It will work for healers too. Sure, it has crit, but it also has a really nice helping of stamina, spirit, and intellect.

Gloves of Peaceful Death
These could be nice if you’re stacking haste, but in my mind, the gem slot on the other gloves in Naxx makes them a better buy. These are inferior to the set piece gloves from Obsidian Sanctum as well.

Patchwerk

Boots of Septic Wounds
These are your Naxx-25 boots, unless you want to squabble with the clothies over one of their options for fine footwear. Put them high on your priority list and take them when you can–it’s really your only option in this tier.

Grobbulus:

Nothing unique

Gluth:

There may be inaccuracies about this boss, as wowwiki and wowhead don’t agree on his loot table. This guy seems to be able to drop chest tokens, leg tokens, shoulder tokens, and a whole host of miscellaneous stuff.
Charmed Cierge
If in fact this item drops from Gluth on Heroic, it’s a pretty decent staff.

Legs token, yielding Valorous Dreamwalker Leggings
If you can choose only one piece of Tier 7, let this be your target. There isn’t a good substitute for this item unless your raid can kill Sapphiron.

Thaddius:

Headpiece of Fungal Bloom.
This item is pretty unique, featuring massive stamina and mp5. This isn’t a bad piece if you’re otherwise low stamina and heavy on spirit.

Spire of Sunset
This is the weapon that I personally want the most. I like the haste and mp5–I’m used to weapons with no spirit, so I don’t miss it here.

Sapphiron:

Cosmic Lights
You could argue this one as offspec for a resto druid. With the crit/haste combo, it’s not a great buy, and I’d hold out for a necklace with either spirit or mp5 if I had a choice.

Legguards of the Boneyard
Now, I realize this isn’t the tier piece, but this is a really great item. I’d take it in a heartbeat.

Kel-Thuzad:

Helm Token, yielding Valorous Dreamwalker Headpiece
This is likewise a high-priority piece, as it has the holy grail of both spirit and mp5. If you can help it, don’t miss out.

Cape of the Unworthy Wizard
With it’s high item budget, this piece is a probably the best cloak in the zone. However, it’s also the best for many others. As no cloaks–or armor pieces in general–are perfect for resto druids, just get one of the many available ones at some point and be content with it.

Torch of Holy Fire
Predictably, this end-boss item is also a best in slot for 1-h maces. Take it if you can–but pass to another player with a blue weapon if you have one of the other available choices in Naxx. By the time you hit KT, you’ll be moving on soon to bigger and better things.

Appendix: Obsidian Sanctum

OS is quite an easy raid and most guilds will do it while they’re in Naxx. Here are the pieces you might want to acquire there.
Majestic Dragon Figurine
This is an interesting little trinket to theorycraft with. My instinct says that, with our high cast frequency, this will be excellent for resto druids, but someone with a better knowledge of mathematics will have to graph that out for me.

Illustration of the Dragon Soul
Here’s a dps version of the above. Healing druids could also benefit, but my feeling is that the frequently-casting affliction locks are going to want this one more than we will.

Staff of Restraint
This is a very good, very accessible, nicely balanced weapon. I certainly wouldn’t mind having one!

. . . and of course, the gloves token
Valorous Dreamwalker Handguards

Syd’s Gear Theory

Perhaps this deserves its own post, but I have changed my own personal gear strategy. I used to play in a guild where loot was scarce enough that no one got very much. We were never certain of killing farm bosses, and we had a huge raid roster. These two factors combined to give our guild, overall, a lower gear level than peer organizations and a higher dependence on badge loot. However, with the new expansion and innovations like shared loot, there seems to be absolutely no reason to hold out for the best pieces. My current theory? Think about my guildies as much as myself when loot comes down. With a smaller raid, and a Loot Council to distribute the goods, there’s less reason to make the “smart” buys. I’ll be passing frequently and cobbling a decent set together out of stuff that other people don’t want. Our Loot Council should ensure that everyone’s equipped to play at the proper level.

However, in making this list, I’ve tried to indicate how to intelligently navigate the loot system for people in situations where they have limited DKP or bidding power. These players will have to evaluate items more carefully than raiders in guilds who random roll or use Loot Council. As much as we don’t like to admit it, if you’re playing in a DKP guild, you can end the tier undergeared–despite putting in as much effort as everyone else–if you don’t spend your points wisely. I’m not talking about hoarding here, because hoarding hurts everyone, the player who hoards included. I’m talking about not spending your points on stuff you don’t really need, especially if other players need or want it more than you do. It’s particularly important for new guild members who don’t have a pile of DKP to spend from past raids to make good choices. Since the advent of spellpower, that has become a little harder to do–but this list should help you figure out when to hold ’em and when to fold ’em, so to speak.

N.B. I’ve tried to craft this post as a guide. If I missed something, post a comment and I will gladly update.