The h2h weapons he drops are equipped if he will drop them. We saw 2 on him and he dropped 2.
Bummer =\
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Triggering the fight spawns lost souls, undead giant overlords, tormented souls, wailing souls, angry souls, and undead giants which will attack your raid in quick waves of 5-10.
"Breath of the Fallen" is a lifetap.
If "Reign of Decay", a frontal AE, is not cured in time, a 10k DD goes off on its target.