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The Primal Avatar destiny has one ability that many players trains and Twists for affordable battle-healing.
In addition, the destiny is a great party and summon-support destiny, greatly augmenting hireling and summoned creature defense and offense, and also improves your total spell points.
Primal Avatar also helps with STR or WIS needs for your character, and, like Shadowdancer, grants the highest Melee Power bonus (+4) per innate ability.
As a Druid-aligned destiny, many of these abilities also work with unarmed fighting for Monks.
Ephemeral Evolution gives you temporary bonuses to PRR as you take damage.
Seeking Balance gives a Primal bonus to Reflex saves, Tumble, and Balance.
Favored Enemy, an option normally reserved for Rangers and Druids, allow you to add additional damage when attacking certain enemies.
Natural Shielding gives your hirelings and summons substantial PRR and HP bonuses and, at its highest rank, Evasion.
Tsunami is a water-wave attack that knocks down enemies. A great fit with Monks as the DC leverages your WIS modifier.
Summon Dryad Elder: This summoned dryad is a dangerous fey that often generates great aggro, is durable and lasts for 10 minute.
Paired Parry/Symetric Strikes grant +5 AC or, better, a 5% Primal bonus to weapon and unarmed damage.
Spirit Boon lets you add a temporary +2 to any ability stat as long as you have Spirit charges to power it.
Rejuvenation Cocoon (tier 1) is often used for many combat fighters for battle healing in epic play. Easily added to your Twist of Fate slot.
Balanced Attacks (tier 3) not only gives attack bonuses but, when fully trained, causes virtually every enemy to be knocked down on a Vorpal hit for 2 seconds. Works only with melee attacks.