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and lets him steal your hp
for the normal miasma effect, girro coil, clear mind charm, or a health aug on the weapon
Sadly it is a deceptively small area as well as not lasting long. It helps, but you will still be taking alot of chip damage.
Elderseal does work at least in single player, or just knock him down a ton so he won't get the chance to power up the aura (albeit I swear you can get situations where elderseal triggers the flinch, you break a part, and Vaal won't fall over from the part break because of the elderseal flinch, urgh). It's why AT Vaal is fairly annoying and health regen aug is almost a must, since AT Vaal tends to stack up a ton of aura and the damage over time you take becomes insane for it.