If you have no Madrigals/Hunter's Roll we're back to square one. You routinely fight monsters that require at least 475 accuracy to cap hitrate on DRG?
EDIT: Since you haven't responded I'll say the answer for you: no. You can throw "balanced" around all you want, you've too much accuracy in your build for 99% of endgame targets if you're eating the proper food. Might I suggest a high accuracy TP macro for the 1% and a full haste TP macro for everything else?
Also, your SAM doesn't have a 6-hit.