I have a reflect warder that is fully decked out and still unable to kill mad queen because i cannot cleanse the heal before it completes. Making it an endless stalemate. I use empowered ravna’s guard cutting my reflect dmg by 150% without all 5 pieces of empowered perdition. A simple fix for mad queen would be to make her cleanseable before she completes her self heal. This would make having cleansing waters devotion worth it.