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Blood (50/00/21 or 51/13/07)
Blood is the current highest DPS spec. It's much more stable than Frost or Unholy, and provides one of the best melee raid buffs in the game (Abomination's Might, 10% increased AP). The rotations are more stable, and the single-target damage is very, very high.
A special mention must be given to Abomination's Might and Blood Aura, which are too superb raid buff that are well worth bringing a Blood Death Knight for. Sadly, Abomination's Might does not stack with Unleashed Rage. The difference between the two builds is two-fold: 50/00/21 has Gargolye and no Annihilation, where 51/13/7 has Dancing Rune Weapon (DRW) and includes Annihilation. Annihilation is a wonderful talent. Obliterate (OB) normally removes the diseases on your target. Annihilation (3/3) gives you a 100% chance for Obliterate to do damage without removing the diseases, and also provides a crit buff to specials.
The main issue is that Garg does much more damage at lower gear levels; it doesn't scale as well as DRW does with gear (especially weapons, since DRW replicates your weapon). There's also the fact that DRW is basically fire-and-forget. Get 100 RP, hit DRW, and forget about it. With Garg, you have to constantly monitor your RP, as you won't get the full minute uptime without constantly watching your RP. You need to generate 450 RP over the course of a minute to keep the Garg up for the full time.
What does that mean Well, you can't dump any RP into Death Coils while it's up. Maybe I should show the general rotation for Blood before we go more in-depth:
50/0/21:
PS -> IT -> HS -> HS -> OB -> DC*
PS -> IT -> HS -> HS -> HS -> HS -> DC*
51/13/7:
PS -> IT -> HS -> HS -> OB -> DC
OB -> HS -> HS -> HS -> HS -> DC
The DC at the end of each line indicates a RP dump before continuing on. Sudden Doom procs should be used at this time as well as dumping all of your available RP until you have less than 40.