
- Win Rate
- 49.9%
- Pick Rate
- 1.6%
- Ban Rate
- 4.0%
Dr. Mundo Top Build: Items & Boots
- Patch
- 26.20
- Games
- 3,254
- Lane
- Top
- Tier
- All Tiers
- Last Updated
- Oct 20, 2026 UTC
- Methodology
- Data Methodology
- Author
- Dakota Chinnick
The most-played Patch 26.20 Dr. Mundo build is Boots of Swiftness, Heartsteel, Warmog's Armor, Spirit Visage, Titanic Hydra, Thornmail, Oracle Lens: 8.84% of games, 55.16% win rate. Below are the boots, first items, starting items and summoner spells players pick most, each with its own win rate and game count.
Select a Dr. Mundo Build
Titanic Hydra
Heartsteel
Warmog's Armor
Heartsteel
Warmog's Armor
Spirit Visage
Titanic Hydra
Heartsteel
Spirit Visage
Heartsteel
Thornmail
Spirit Visage
Best Dr. Mundo Build - Highest Win Rate Items
Full Build
Early Build Order
Top Summoner Spells

Teleport + Ghost53.8%Win Rate62.0%Pick Rate
Teleport + Flash50.9%Win Rate21.3%Pick Rate
Build Stats
This Dr. Mundo build focuses on a balanced mix of offense and defense. Build the core items first for your power spike, then adapt with situational items based on enemy team composition.
The core items for this Dr. Mundo build are Heartsteel, Thornmail, and Spirit Visage. This item combination achieves a 53.9% win rate across 258 matches analyzed.
At full build, Dr. Mundo gains a total of 2850 Health, 125 Armor, and 50 MR, giving a strong power profile for a balanced playstyle.
The most popular starting items for Dr. Mundo are Doran's Shield, Health Potion, Stealth Ward with a 58.4% win rate and 34.5% pick rate.
- Heartsteel S Tier

Heartsteel
3,00051.57%Win Rate+1.69%WR Diff85.93%Pick Rate - Thornmail S Tier

Thornmail
2,45048.98%Win Rate-0.90%WR Diff24.22%Pick Rate - Spirit Visage S Tier

Spirit Visage
2,70054.17%Win Rate+4.29%WR Diff28.76%Pick Rate
Theorycraft Your Next Dr. Mundo Build
Test any item combination — even off-meta — against thousands of real Dr. Mundo matches. See win rate, KDA, damage, and every item's real impact before you ever lock in.
- Any item combo — even off-meta
- Thousands of real matches
- Win rate by rank & game length

Dr. Mundo players complete Warmog's Armor first in 38% of games, winning 53.1% of them. The median first item is finished at 13:36 (25th to 75th percentile: 12:18 to 15:18).
First item
| Build | Win Rate | Pick Rate | Done at | Games |
|---|---|---|---|---|
| 53.1% | 37.9% | 13:36 | 1,159 | |
| 48.9% | 57.2% | 12:24 | 1,750 | |
| 58.0% | 1.6% | 12:06 | 50 |
First two items
| Build | Win Rate | Pick Rate | Done at | Games |
|---|---|---|---|---|
| 56.5% | 34.2% | 20:24 | 938 | |
| 58.8% | 5.6% | 21:42 | 153 | |
| 51.7% | 34.2% | 21:00 | 939 |
Three-item core
| Build | Win Rate | Pick Rate | Done at | Games |
|---|---|---|---|---|
| 64.9% | 15.3% | 27:00 | 276 | |
| 61.1% | 13.3% | 27:18 | 239 | |
| 60.2% | 8.9% | 27:12 | 161 |
Stages keep purchase order, so "A then B" and "B then A" are counted separately. Completion time is the minute the last item of the stage was bought. Boots are tracked separately.
Dr. Mundo players max Q > E > W in 90% of games, winning 50.3% of the 2,820 games that followed that order. The grid shows the most common ability at every level.
| Level | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Q | 1 | 2 | 3 | 4 | 5 | |||||||||||||
| W | 1 | 2 | 3 | 4 | 5 | |||||||||||||
| E | 1 | 2 | 3 | 4 | 5 | |||||||||||||
| R | 1 | 2 | 3 |
- E > Q > W: 7% of games, 48.3% win rate
- Q > W > E: 3% of games, 41.5% win rate
- Unending Despair S Tier

Unending Despair
2,80055.45%Win Rate+5.57%WR Diff6.48%Pick Rate - Warmog's Armor S Tier

Warmog's Armor
3,10052.81%Win Rate+2.93%WR Diff69.94%Pick Rate
- Boots of Swiftness S Tier

Boots of Swiftness
1,00054.57%Win Rate+4.69%WR Diff39.98%Pick Rate
- Farsight Alteration S Tier

Farsight Alteration
047.81%Win Rate-2.07%WR Diff7.71%Pick Rate
Combined statistics from all items in this Dr. Mundo build.
Movement Speed:55
Health:2850
Armor:125
Magic Resistance:50
Build Comparison
This Dr. Mundo durable frontliner build is optimized for players looking to maximize their impact in League of Legends. Its 53.9% win rate comes from only 258 games, so treat it as an observation rather than a proven edge. The build's key strengths include strong physical damage mitigation and substantial health pool for survivability. This tanky Dr. Mundo build works best when your team lacks frontline presence. You can absorb damage and create opportunities for your carries to deal damage. The armor in this build makes it effective against AD-heavy enemy compositions with champions like assassins or marksmen. With a total gold cost of 15,050, this Dr. Mundo build scales into the late game. Focus on farming efficiently and reaching your Heartsteel, Thornmail, and Spirit Visage power spike before taking major fights. For optimal results with this Dr. Mundo build, focus on proper itemization timing, positioning in teamfights, and adapting your situational items based on the specific challenges each game presents.
Strengths
- Strong physical damage mitigation
- Substantial health pool for survivability
Dr. Mundo Top Boots, Starting Items & Summoner Spells (Patch 26.20)
3,114 gamesMost Dr. Mundo Top players rush Heartsteel first (57% of games), finished at a median of 12.4 minutes. Boots of Swiftness are the usual boots (42%). The standard summoner spells are Ghost + Teleport (59%). The game usually starts with Doran's Shield + Health Potion.
Dr. Mundo boots
Dr. Mundo starting items
Dr. Mundo summoner spells
| Option | Players | Win Rate | Games |
|---|---|---|---|
| 58.7% | 50.8% | 1,827 | |
| 21.6% | 47.8% | 672 | |
| 7.7% | 47.7% | 239 | |
| 6.7% | 54.3% | 210 |
Every option is listed with its own pick rate, win rate and game count from ranked games this patch. Options under 40 games are left out.
Dr. Mundo First Item and Core Build Timing
Which item Dr. Mundo players finish first and which three-item core they build, with the median completion minute and the middle 50% of games — the timing to beat if you want to spike before your opponent.
First completed item
Three-item core
Every Dr. Mundo Top Item by Win Rate
The completed items Dr. Mundo players build most this patch, with the share of games each one appears in and its win rate. Situational items sit low in pick rate for a reason — read the win rate next to the game count.
Dr. Mundo Build Planner
Plan a build
Start from Dr. Mundo's most common core and swap items to see the total gold and stats. When your picks contain a three-item core players actually build, its recorded win rate shows up.
This core is in our ranked data: 64.9% win rate over 276 games.
- Attack Damage
- 40
- Health
- 2,500
- Move Speed
- 55
See Also
Dr. Mundo community builds
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