by Absalom on Sat Dec 31, 2011 5:55 am
Impale is the biggest reason for stamina stacking on Madness, but not the only reason.
Both the shadow damage from Degenerative Bite (the stacking DoT from the Regenerative Bloods) and the physical damage from Tetanus (the stacking DoT from the Elementium Terrors) are also potentially lethal and unfortunately not blockable.
When I run Madness, I normally equip double stam trinkets and not the trinket setup I normally logout in.
There is still good reason to stay CTC capped if you are working on the first few heroic encounters in Dragon Soul. I remained CTC capped right until we killed Spine before regemming straight stam.