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Use Primal Rage with high-critical-damage weapons such as axes, hammers, and scythes.
Since disabling a skill clears its adrenaline and disabled skills don't acquire adrenaline points, avoid bringing skills with a high adrenaline cost when using this skill.
Instead of attack skills, focus on general buffs that affect multiple attacks, such as Conjure Flame or Signet of Strength - these can be activated before triggering Primal Rage.