It heals something like 6-10 hp (changed several times over the course of kunark/velious era) every single time a melee hit lands.
If you have a fair number of melee in your party, it is worth it to cast it every few mobs to top up the non-tank melee that get damaged. The faster weapons they use, the more healing they get.
For boss mobs in Velious where it lands, it becomes epic.
Had a ranger tank using Rev Whip and Moss Covered Twig in Howling Stones with 3 other melee in the group, only had to cast Mark of Karn to keep them all healed.
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