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So it's really situational and not tha usefull debuff anymore, it was much stronger in POE1.
The main effect is really the int debuff, with the aoe change a bonus. Even more importantly, it makes them vulnerable to sneak attacks. Which helps out rogues and a few subclasses.
Well in first POE it was also minor affliction compared to charmed/dominated. But it made effected character autoattack (only autoattack, no abilites) anyone who was near them uncontrolably.
Now it is really not even a minor set back to get confused, penalty is too low, and confuse spells are pretty much useless in most cases
Yes charmed and dominated are great, but confuse is not usefull. And we are talking about confused. They are different abilites even though they are grouped in under same affliction stat.