Yeah, it really helps in increasing staying power. No arguments there.
But the question is though, does the fighter need it?
That's not the question. The (inaccurate) statement you made was:
"Basic fighter is still the stickiest/toughest defender there is."
Replace +1 to hit with BRV and yes, the PHB II Fighter is a lot tougher. You said so yourself: "it really helps in increasing staying power".
And, he is just as sticky. NPCs do not know that one attack in 20 will miss that would have hit, so there should be zero difference in how the DM plays the NPCs.
Is it worth lowering average damage per round by around 10% and reducing the chance to land with OAs, dailies and encounter powers by 5%?
There aren't that many ways to get +1 to hit. Lots of ways to gain/recover HPs.
Deterrence is one of the duties of a Defender, not just endurance, and lowering your chance to hit impacts that.
So, let me get this straight. Each power hits 1 time in 20 more than it would have.
So, if there are 10 round encounters, the +1 to hit helps on one round out of every TWO encounters. In 7 rounds encounters, the +1 to hit helps on one round out of every THREE encounters. 95% of the time, the result of an attack between the two Fighters are identical.
And, the NPCs do not know that a given Fighter is 1 less to hit. There is no "lowering your chance to hit impacts deterence" because foes will not detect this. If it does not occur 19 rounds out of 20, how do the NPCs detect it? The two Fighters should appear equally as sticky to NPCs.
BRV, on the other hand, helps on more than half of the rounds. It even helps on rounds where the Fighter is not hit with a Burst or Melee attack (because the temp hit points still help against other types of attacks).
BRV not only gives more temp hit points to the Fighter, but it also allows the Leader to concentrate heals on other PCs. Pro group.
The defender is the most attacked PC in the group. BRV allows that defender to use fewer Healing Surges and hence, allows him to fight in more encounters per day. Pro group.
+1 to hit is helpful. Just nowhere near as helpful as BRV. If the Fighter does not hit one time in 20, it just means that a different PC out of the other 4 will have to hit. That extends one encounter in every two by maybe a half round.
One final note: If a Fighter goes unconscious just once, he loses ~+10 to hit (i.e. 50% chance to hit goes to 0%). So, a single round of unconsciousness is equivalent to 10 rounds (or 1 encounter) of +1 to hit. BRV decreases the number of times a Fighter goes unconscious.
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