Why does this thing even exist?
None of the major traits that require you to be in certain attunement work with it, nor does extra toughness from earth 5 point minor.
What does work is the fire 5 point one (yay, extra chances to sligthly burn enemies when they pummel you to death) and water 5 point trait (extra 6 seconds of soothing mist if the refreshes happen to go perfect, more likely 3 seconds extra).
Dr.Strang E – Nameless veterans (NV) – Gandara (EU)
[ ex- Piken Square (EU), ex- Aurora Glade (EU) ]