As far as I can tell, you have to be hit for the effect to proc once used.
It's a pretty lackluster trinket imho, t0o difficult to get all the stacks up at the right time for the burst you want to mitigate; especially on slow hitting bosses. It's lotsa EH when it's stacking it's charges, but it's too situational and difficult to time when compared to the juggernauts vitality. I've got the heroic version sitting in my bags, I try to use it, but I keep going back to the ignis one.


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