From what I have heard, I googled Aoc Dt feats, and it explained sadism as having a chance to stack every time you or somebody in your party takes a hit. It will show up where all your normal buffs appear (by your food)It is a red and black icon if I remember right, kind of like the Bear shaman blood flow.
I believe you can feat to make it easier to stack using mana, or stack when you DO damage instead of receive it.
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