If you compare logs from before Patch 10.2.6 to after Patch 10.2.6, you'll notice that the unmitigated damage of a melee swing from Spiteful is now ~225k (down from ~600k). They also have about 60% less health!
This makes the Spiteful affix be basically just a nuisance that healers need to heal through rather than have any chance of killing players.
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