You can definitely get by soloing without Bind Wound sub-50 if you've got a Fungi and other good gear. But there's really no good reason to forfeit the ability to heal yourself and others 500 hp per minute when you're 50+, unless you're just too lazy to level it. It's a very strong skill, and it's actually quite insane to act like it has no application whatsoever when soloing, considering it heals about twice as much as a Fungi and bonus Iksar regen combined during downtime.
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