Introduction
This is an advanced guide and assumes a deep understanding of the boss's rotations and mechanics for the Hard Mode version of the Sanctum of Rebirth, found in Sanctum HM Mechanics Overview.
Presets and Relics
⬥ Melee 
Vermyx, Brood Mother
⬥ Release all s
with 
⬥ Gear must be perked with Equilibrium 4 
Pre-fight
+ 
Phase 1
→ 
→ 
→ 
→ 
→ (
)
Coilspawn
→ (tc) + 
→ → 
→ s
→ → s
Phase 2
r + → s → r →
Coilspawn
→ 
→ s → s → s → s → → s → s
Phase 3
→ 
→ 
→ → → → 
→ 
→ 
→ ( → 
)
Kezalam, the Wanderer
⬥ Release all s with
⬥ Gear must be perked with Equilibrium 4
War's Retreat
s
Pre-fight (Moonstone Obelisk 1)
r + → → → → → → s
Phase 1
→ → → + → → s → r → →
Moonstone Obelisk 2 (obelisk you didn't use on)
→ → → 
Phase 2
→ 
+ 
+ (8t) → → s → r + → 
+ click → 
→ (7t) → → → ( → → etc)
Moonstone Obelisk 1
→ →
Phase 3
→ → → → s → → → → → → → s → r → ()
Nakatra, Devourer Eternal
⬥ Release all s and with
⬥ Gear must be perked with Equilibrium 4
War's Retreat
s
Phase 1
r + → → → → → → → → s → (2t) r +
Phase 2
+ → 
→ → → → → s → r + (7t) → + 
→ + 
→
Phase 3
Nefthys 1
→ → → → ()
Nefthys 2
+ 
→ → → → →
Prephase
→ 
→ →
Phase 4
Shadowsands
+ 
+ → (tc) → (tc) → (leave)
Nakatra
(2t tc) + → → + → s → r + → → s → r + → → →
Example Kills
⬥ Vermyx
⬥ Kezalam
⬥ Nakatra
Source record
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