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I didn't really use fear much until I got my snare and had a little more control over how far a mob could get while it was feared.
While running from Hathor Zhi back to ToD I saw a lower level DK fighting Aeokers. He feared one that spawned on him while he was already fighting a mob. It ran off while he continued fighting his original target. The feared one came back with two buddies in tow. So, the answer to your question is yes, fear can cause adds.
I have also seen the occasion where a near dead mob wandered off from the fight over near his buddies, but they did not aggro. Perhaps it's just a bug that creeps in sometimes.
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