I played it for a few people who had trouble with it. It was pretty fun, comparable rush to when you're barely managing to keep people alive. Then again, I was a virgin non-CS user on my original play-through so had to use all +0.
If they haven't changed anything since I played, it's pretty much like the previous posters said. Gaining aggro purely through heal-spam seems to be less effective than in normal-maps so cycle Bashes on mobs that are attacking the NPCs.
I don't know if it's true, but I've heard that Roumen has more HP/Def than Elderine so they said to prioritize getting mobs off of her. Take that with a grain of salt.
They spawn in clumps so just wade in there and gain aggro.
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