Breath of Neltharion tinker is bad
The Breath of Neltharion tinker is often pretty bad and it can throw off your sim results.
Breath is a long channel (6 seconds) that does mediocre DPS. It also triggers your potion cooldown.
For many classes, SimC will try to activate any "Use:" actions when they are available. In the case of Breath, this will often be at the beginning of a fight and will happen during bloodlust. This will replace 6 seconds of your normal rotation at a critical burst window and will almost always be DPS negative.
This is why in some Top Gear or Droptimizer sims, you might see a random item providing a surprisingly large DPS boost. In many of these cases, it's because Breath of Neltharion is no longer being used which is large DPS increase.
Raidbots recommends removing this tinker from your gear.