The truenamer works fine considering what I said. I was intentionally limiting its truespeak bonuses to only core+Tome of Magic, and not using PaO, precisely to keep it down to tier 6.
So mostly an out of combat healer, which it should have some use, even with out items until level 15ish, its healing ability steadily decreases with levels sadly, with a small spike when it gets a new healing ability. If your depending on the Truenamer to stop you from bleeding to death, you had better pray he rolls really good.
Some control aspects at later levels.
And anti-sundering tech, kind of cool.