That only really applies to after level 39 and when you're using Complete Heal. Complete Heal always uses 400 mana but how much it heals for depends entirely on how much health the target has when it lands. Hence a Cleric improves his efficiency by waiting as long as possible before casting it. Prior to using Complete Heal, you achieve full efficiency so long as the heal lands for its full value, which will typically only be a small fraction of the target's total health. For example, in the low 20's a non-twink tank might have about 700-800 hit points, while your best heal only heals for 100.
If you want to absolutely min/max, don't quite ever heal the tank to 100% (this doesn't apply to using Complete Heal) so that natural regen (or better, spell regen if available) can continue working.
Most the time the difficulty from playing a Cleric on Project 1999 comes from the Warcraft-like mindset of the modern player base who wants to keep pulling nonstop whether the healer is at full mana, half mana, or entirely out of mana.
Danth
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