I managed to get 1-shot by Lavarinth on hell difficulty (lv 59 wiz, 24k hp, maybe 150-200 resists). It was about to be a sub-10hr lv60, no plvl. I didn't even know he has a special attack/projectile unique to him. I've never seen ghouls do it before; I noticed it mid-way through the fight it had that potential, nearly dying to a few. He was maybe 10% hp about to go and lands some critical one, 100% hp to dead.
Hell diff is srs, and I too have finally died at level 59.
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