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I am just learning Pathfinder at the moment. As I understand it, instead of any spell Clerics prepared they may cast a spell with "Cure" in it's name if it is of the same level, Druids do the same with "Summon Nature's Ally" spells.

Why would one then prepare any such a spell normally? It seems like just wasting an opportunity to prepare something else.

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Not all clerics can spontaneously cast cure spells—evil clerics and neutral clerics who choose to channel negative energy instead spontaneously cast inflict spells—but otherwise, you’re completely correct. The spontaneous spell class features of clerics and druids are there to save you the trouble of preparing those spells. You can prepare something else, and then if it turns out you need cure or summon nature’s ally more than that thing, you can still have it.

Do note, however, that every single cure or inflict spell is also much, much weaker than a typical spell of its level, and summon nature’s ally, while decently strong, has the large complication of having a “1 round” casting time (i.e. the summon does not appear until your next turn, and that only if nothing disrupts your concentration on the spell). This is likely an intentional trade-off for clerics and druids—you can get this spell exactly when you need it, but it’s not going to be “as good” in some general sense (as opposed to the specific situation you’re in) as whatever you are replacing.

There are two cases where you still could theoretically want to prepare spells you can cast spontaneously: metamagic and the healing domain. If you know you will wish to use metamagic on a spell, it is better to prepare that spell with the metamagic than it is to spontaneously cast it with the metamagic, as the latter extends the casting time of the spell.1 And domain spell slots cannot be spontaneously converted to cure or inflict, so for example if you channel positive energy and have the healing domain, for most domain slots, you have a choice between a cure spell, or another spell that will not be eligible to convert to cure later. Ultimately, though, these are both kind of moot points—the cure spells are so bad that you shouldn’t waste spell slots trying to metamagic them, nor should you take the Healing Domain.

(It is because of this weakness of the cure spells that it’s also good to buy a wand of cure light wounds to heal in between combats—it’s the most efficient healing in the game,2 it preserves your best spell slots for better things than cure spells, and between combats you’ll usually have the time you need to zap the wand several times. Many clerics only use their spontaneous cure ability in dire emergencies. It’s only once you get the fantastic heal spell that healing in-combat becomes something worth doing even when not absolutely forced to.)

  1. In the case of cure or inflict, this makes the spellcasting take your entire turn; in the case of summon nature’s ally, it makes the summoning take two entire rounds so by the time you get the thing, the fight is probably pretty much over. Note that there is a difference between a “full-round action” casting time, as with the spontaneously-metamagic’d cure, and a “1 round” casting time, as is the case for summon nature’s ally—the former takes your entire turn but still happens on your turn, while the latter takes your entire turn as well all the time until the beginning of your next one, making you vulnerable to disruption and delaying the actual effect of the spell.

  2. That is, in terms of hp healed per gp spent, and actually that’s not quite true as a caster level 1st cure light wounds will heal 2-9 hp (average 4.5), while a caster level 1st infernal healing will heal 10 hp (over the course of 1 minute). But infernal healing causes alignment problems for a lot of parties/clerics, and celestial healing is complete garbage thanks to its duration of 1 round/2 levels.

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    \$\begingroup\$ @Baskakov_Dmitriy Infernal healing is the most healing available from a 1st-level spell slot (1 hp/round for 1 minute = 10 hp healed; cf. cure light wounds with an average of 9.5 hp healed at caster level 5th). Meanwhile, celestial healing has doesn’t last as long as infernal healing until caster level 20th. Celestial healing is garbage. \$\endgroup\$
    – KRyan
    Commented Mar 7, 2017 at 16:48
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    \$\begingroup\$ You could, plausibly, want to prepare a spell you can cast spontaneously in order to prepare it with a metamagic effect without suffering the normal extra casting time. It's also important to remember that the domain spell slots that clerics get cannot be used to spontaneously cast, and if you have the healing domain (for instance), the various cure spells are one of only two spells you'd be able to use in most of those slots. \$\endgroup\$
    – Carcer
    Commented Mar 7, 2017 at 17:39
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    \$\begingroup\$ @Baskakov_Dmitriy Actually, Empower Spell is not sufficient to make the cure spells actually good. Numbers just don’t work out in their favor; you end up spending your entire turn (not to mention the spell slot) healing about one attack’s worth of damage—but characters can easily have multiple attacks per turn by 6th level. And since the Healing Domain also represents the loss of an opportunity to get spells you couldn’t otherwise cast (since many domains offer such spells and Healing has none), it isn’t recommended. \$\endgroup\$
    – KRyan
    Commented Mar 7, 2017 at 19:22
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    \$\begingroup\$ It's interesting to see the math of healing's inefficiency laid out, does anyone have a resource (other question, forum, etc) that it's further explained? \$\endgroup\$ Commented Mar 7, 2017 at 21:35
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    \$\begingroup\$ @Ifusaso Quick back-of-the-envelope thing is comparison with sneak attack: at any given level, sneak attack deals a number of d6 dice equal to the number of d8 dice in the highest-level cure spell available. The larger die and the addition of caster level to the healing represents another 1.5 healing/level. Thus, sneak attack averages to 1.75 damage/level, while casting the highest-available cure spell averages 3.25/level. At best (ignoring the weapon itself as well as the rogue’s Strength or other features), that cancels two attacks. But rogues have two attacks from 1st (TWF) and get more \$\endgroup\$
    – KRyan
    Commented Mar 7, 2017 at 21:39

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