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Still deals damage but all you have to do is look at your hp
You'll need miasma resist decorations or just to carry nulberries.
2. There are naturally occurred miasma in Rotten Vale that will constantly drain health, but extremely slowly. Val Hazak releases a stronger miasma fog wherever it goes while in combat, which drains life much faster. The visual is a bit hard to tell though.
3. Blackveil Val is even more frustrating, as it leaves spore stains on ground that does AoT damage, and are also capable of building up miasma status.
4. Just use miasma resist, the fight will be trivialized instantly. Val is a super slow monster and has very forgiving hit box most of the time.
As for the second, the build up is not visible to you. Miasma build up will decrease your health by half once it hits the threshold. You can avoid all the big hits, but eventually, this miasma build up will accumulate and half your health.
All attacks have miasma build up value. Each hit breath attack will deal a chunk of it. So depending on how long you've been in the miasma and how often you get hit, chances are that the next big hit will half your health. It doesn't always happen if you're hit early in.
You can negate this halved-health effect by using:
Nullberries, Cleanser Booster (the blue smoke fount), Immunity Mantle. These three will remove the status effect, but you'll have to heal back up from that still. Immunity Mantle also prevents build up for as long as it lasts and prevents your health from being halved if you use it premptively.
Or you can use Miasma Jewels x3, or Miasma Jewel +3 x1, or Miasma Charm. The last three gives you Effluvia Resistance +3 which completely disable the build up. Nothing Vaal can do to you will half your health. Effluvia Res is the most convenient method.
However, NOTHING CAN STOP THE PASSIVE DAMAGE TICKS.
Blackveil Vaal also has its nova, which is kinda weird, but won't affect most melee players. It will fly up and spill chunks of noxious lumps and generate a donut-shaped AOE. The center is safe, and the meat of the donut drains your health like street walkers drain your wallet. This stack with its passive miasma dmg ticks, so it is very deadly if you're range and caught in it. It stays for a long time and sometimes Vaal will lure you to fight in it. This will kill you if you don't observe the ground for thick smoke.
and if you were looking to reduce damage from his beam attack, you'd need to make sure your water resistance isn't at -15 =)
everyone else covered it all, so its up to you from there.
There are pools of bright blue acid all over the lower areas in Rotten Vale, you might be stepping into them accidentally while fighting him and they drain your health rapidly.
Other than that, yeah, both Effluvial Expert and Effluvia Resistance are useful, you can also use Immunity Mantle or Cleanser Boosters. Hunting Horn can also negate all ailments.