Aku'mai, an ancient evil, carries within her a small measure of the Old Gods' power. This three-headed hydra is greatly feared for her mindless savagery and insatiable hunger for living flesh, but the Twilight's Hammer worships her as a divine sign that the Old Gods will soon return.
Frenzied Rage — Increases the caster's attack speed by 75% for 5 sec., but reduces the Physical damage dealt by 15.
Poison Cloud — Inflicts 35 Nature damage to nearby enemies every 3 sec. for 15 sec.
Aku'mai provides a pretty straightforward fight, but that doesn't make it easy. The big hydra has a vast load of health and hits like a truck hitting you with a slightly smaller truck. She also has a poison attack that's worth keeping an eye on. Keep your tank healed and make sure he or she can keep aggro well while the rest of the group unloads everything they've got onto Aku'mai. [Soulstone] the person who is resurrecting, cast all buffs, and give her hell.
She is able to reduce any tank into a bite of snakefood with a few attacks, if he or she is not protected properly. A warrior might have a better time with her, but a paladin can serve as a tank as well.