Internal Trama Damage

Is there any way to adjust the way that internal trauma damage is mitigated? As far as I know, only physical resist, damage absorption, and %all damage debuffs can affect this damage type, which makes it extremely hard for some classes to mitigate. The only places to find good physical resist is in the occultist class, on shields, or in procs with low uptime. Is there a way to make armor mitigate this damage, or would this affect player-side damage too much as well?

I just find it annoying that I can tank Fabius, Benn'Jarr, and Valdaran 3v1, but a single Iron Maiden sends me running like a headless chicken unless I stack physical resistance (which usually only comes in 3-5% increments). Reflected Trama damage also hurts like a bastard.

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Internal Trama Damage