OK we got incoming, horrible screaming flying monster, most likely right behind me. Run, seek some kind of cover, cue up and drop the hot girl (Flame Atronach) and hit 7 for the Deadric bow, or perhaps pull out the Vampire sword, depends how close he is ... now. Get turned around and see where the hot girl is shooting at, one of the main reasons I use her, engage monster. OK we got an Ancient Frost Dragon and I'm a Dark Elf.
Time to configure. Hit Tab and put on anti frost necklace, chug anti frost potion and equip Dragonbane, make sure the arrows are Deadric. Select correct Shout. Hit Tab and run, probably drop another hot girl, they don't last long. Shout em' if you got em'. I have the Atronach key on 3 and it alternates nicely with the Spellbreaker shield, which I have on 4. Put the shield back and asses cover possibilities, move fight towards better cover if possible. Engage Dragon with arrows or, if he's right there, sword. Whittle him down to 1/3 and then after making sure you are good get in front of the svcker and shield bash and hack him with the sword till he croaks. You get the good kill animation about half the time.
http://carnagepro.com/pics/diedragon.jpg
This mod for less blurry animations:
http://steamcommunity.com/sharedfiles/filedetails/?id=11757&searchtext=

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