@Mike …By using the necro-blight spec ,your diseases get spread in the form of necrotic plague which replaces blood plague and frost fever… To do that all you need to use is unholy blight and outbreak. I have outbreak on a separate button to control when to use it but hopefully you only should have to use it once or twice in the macro’s rotation. The idea of this macro is to apply necrotic plague(this is where I would use outbreak). Then it uses unholy blight to get to 15 stacks as fast as possible.It will then use festering strike to get necrotic plague to last as long as the cool-down for unholy blight, and scourge strike until necrotic plague wears off. By then unholy blight should be off cooldown and the process should then repeat itself. That being said you can always insert outbreak into a pre or post macro but I just don’t see a need for it.