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With my guild I reguarly end up tanking mobs 5-6 levels higher than me (i.e. level 35 tanking in Graystone with the rest of the party being 40-42). I do relatively well. A lot of the suggestions in this thread are great but I'll reiterate with everything I do.
a) use a two hander. You aren't going to hit often so make those hits count. Also your abilities are mostly weapon % for damage and again the 2 hander will make your few hits count more.
b) use a + skill armor. I keep my infineum cloak just for this purpose. I throw it on whenever I am tanking mobs 5-6 levels higher. The +37 2 handed slashing makes a big difference.
c) Instruct your group to let you establish aggro. Don't have them start laying into the mob until you've done a couple round of hits. A few early misses and you'll be struggling the entire fight. However, if you establish early, you will have a much easier time of it. Start off with a torture, hit malice, vexing strike then spam your DC raising ability (I can't remember the name offhand). Get to DC4 as quickly as possible and you will have an easier time holding aggro. Use Provoke EVERY time its up. Get an int buff if possible.
d) Whenever you crit use Incite/Inflame. The damage of Wrack/Ruin isn't nearly as good for hate as the incite/inflame combo.
Other than that, keep popping the rescues and help your group learn their limits. They will have to back off on the DPS for sure but you can do it. I have been able to successfully tank a 4 dot mob up to 6 levels higher. 7 is the magic number, I just can't hit it. No way for me to do it.
edit: and without a doubt, be in defensive.
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