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This ability is not really easy to use, as it seems to be only working when the victim is back on its feet, when there is nothing between the barbarian and its victim, and possibly when you are not too close to said victim. That means the barbarian can't really get close to its victim while it's on the ground if he/she plans to use that ability.
The "severe damage" is also not that severe, since it deals around 200 damage at level 30, so far as could be judged.