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like whats the best way to farm 8 Vitality up to get that 4th health since it does seem like one may want and need that with afflections and all
Without cheating like this, you need to get lucky. The best way is to constantly work and study with Health while dreaming to The Well and hoping that a random 'Course of the Heart" pops up. These pop up quite often right now, so you shouldn't have to wait long for your 8 Vitalities.
If not, you need to do a full-court press and get a bit lucky.
Pretty sure that's onlyl true of the Forge path mentioned above.