I'd say GO CURSES! But then I'd sound like a half-assed idiot...
Blood magic for late game/high lvl pvp usually doesn't work but if you have a good monk, I'm sure it will...
Don't ditch Sever Artery. At 4 adrenaline it's still a condition that needs to be removed. Every second in combat counts and 1 less second of healing to remove that condition means 1 more second to deliver that finishing blow.
My axe warrior does every condition he's capable of doing:
Deep Wound, Cripple, Weakness and the enemies I fight have those conditions for at least 3 seconds or so. [enough time for me to do Victory is Mine! and start the whole process all over again]
Plague Touch can be a REAL monster in pvp. I can't tell you how many times it's made my life easier and made my enemy's life much harder. at 5 energy and 0 recycle, you should never be without it as a necro.
I'd suggest chucking Strip enchantment. Too many chaff enchantments appear to make it much use and the health you get from it wont' help you live that much longer. I'd say go with Rend enchantments. Ripping off two enchantments at once is a lot better than you'd expect.
Your axe rake won't work unless your enemy has a deep wound. Get Eviscerate and have it replace both your executioner's strike and Cleave. That should give u a LOT of freedom to work with your skill bar.
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