Dr. Mundo - League of Legends Champion
Win Rate
51.3%
Pick Rate
5.6%

Dr. Mundovs Ekko

STankFighter
Patch26.4
Matches1,089,240
LaneAll Lanes
TierAll Tiers
Last UpdatedMar 4, 2026
MethodologyData Methodology

Dr. Mundo vs Ekko is a decisive matchup in LoL patch 26.4. Dr. Mundo wins with a 54.4% win rate (+8.8%) over Ekko based on 125 games. Dr. Mundo wins the early laning phase while Ekko scales better into the late game. Below you'll find the best Dr. Mundo build, runes, laning stats, and strategies for the Dr. Mundo vs Ekko matchup.

Dr. Mundo Matchup Breakdown

Use the dropdown to select an opponent and see a detailed breakdown of how Dr. Mundo performs against them. You'll get head-to-head win rates, laning stats, the best build and runes for the matchup, and early vs late game analysis — all based on real ranked data.

Compare against an opponent
Ekko - 54.4% win rateEkko(54.4%)
Dr. Mundo - 54.4% win rate in this matchup
Dr. Mundo
54.4% WR
VS
Ekko vs Dr. Mundo matchup - 45.6% win rate
Ekko
45.6% WR

Who Wins the Dr. Mundo vs Ekko Matchup?

Dr. Mundo wins the Dr. Mundo vs Ekko matchup
Winner
Dr. Mundo
Matches: 125
54.4%
Win Rate
45.6%
1.3
CS / min
1.4
770
DMG / min
882
12,121
Gold / game
12,934
1,107
Heal / min
453
1,571
DMG Mitigated / min
811
0.6
CC / min
0.7
60.0%
Early Game WR
40.0%
49.2%
Late Game WR
50.8%

Dr. Mundo vs Ekko Matchup Summary

The Dr. Mundo vs Ekko matchup is a decisive matchup in League of Legends ranked play. Based on 125 recent matches analyzed, Dr. Mundo wins with a 54.4% win rate compared to Ekko's 45.6%, giving Dr. Mundo a 8.8 percentage point advantage. Game phase dynamics play a critical role here: Dr. Mundo controls the early laning stage, but Ekko outscales as the game goes longer. The matchup shifts dramatically depending on game length — Dr. Mundo needs to press advantages before Ekko reaches their power spikes, while Ekko should focus on safe farming and hitting key item breakpoints. The most significant statistical gap is in sustain, where Dr. Mundo leads by 1,415 HP/min — a difference that heavily influences the outcome of trades and skirmishes. Dr. Mundo players can confidently pick into Ekko and play aggressively from level 1. Look to establish lane dominance early through favorable trades and zone Ekko away from CS whenever possible. Understanding these matchup dynamics is essential for champion select decisions and in-game strategy when facing this lane opponent.

Dr. Mundo vs Ekko Laning Phase Breakdown

Ekko wins the laning phase against Dr. Mundo in League of Legends

Ekko is favored during the laning phase against Dr. Mundo, winning 4 out of 5 key stat categories. Ekko holds advantages in farming, damage, gold income and crowd control, making them the stronger laner in this matchup.

Farming
1.3Dr. Mundo
1.4Ekko
Dr. Mundo and Ekko farm at nearly identical rates in this matchup, with only a 0.1 CS/min difference. Neither champion holds a meaningful farming advantage, so lane dominance will come from trading and jungle interaction rather than CS leads.
Damage
770Dr. Mundo
882Ekko
Ekko heavily out-damages Dr. Mundo by 112 DMG/min, dominating both short trades and all-in fights. Dr. Mundo should avoid extended combat and instead focus on burst trade patterns — short engages followed by immediate disengagement — to avoid letting Ekko's sustained damage advantage take over.
Economy
12,121Dr. Mundo
12,934Ekko
Ekko generates a commanding 813 more gold per game than Dr. Mundo. This substantial economic advantage means Ekko consistently reaches key item breakpoints earlier, creating a compounding lead that grows throughout the game. Dr. Mundo should focus on cost-effective item choices and avoid unnecessary deaths to prevent falling further behind.
Utility
0.6Dr. Mundo
0.7Ekko
Both Dr. Mundo and Ekko provide similar amounts of crowd control (0.2s/min difference), meaning neither has a significant advantage in locking down opponents for ganks or team fights. Lane ganks are equally effective for both sides.
Sustain
2,678Dr. Mundo
1,263Ekko
Dr. Mundo vastly out-sustains Ekko, healing and mitigating 1,415 more damage per minute. This massive durability gap means Dr. Mundo can absorb significant punishment and remain in lane while Ekko is forced to recall. Building grievous wounds early is essential for Ekko, and focusing on burst trade patterns rather than sustained fights is critical.

Best Dr. Mundo Build Against Ekko

Plated Steelcaps is the optimal boots choice against Ekko, providing the mobility and stats Dr. Mundo needs most in this matchup. The top-performing core items for Dr. Mundo against Ekko are Heartsteel, Warmog's Armor and Thornmail. This combination gives Dr. Mundo an effective balance of damage, survivability, and utility for the matchup. This build performs exceptionally well, achieving a 100.0% win rate across 3 games — well above average and making it the top item path against Ekko. Adjustments may be needed based on team compositions and game state, but this build provides the strongest foundation for the Dr. Mundo vs Ekko matchup.

Early Game vs Late Game

Early Game
Dr. Mundo
60.0%
+20.0% advantage
Dr. Mundo early game win rateDr. Mundo60.0%
Ekko early game win rateEkko40.0%
Late Game
Ekko
50.8%
+1.5% advantage
Dr. Mundo late game win rateDr. Mundo49.2%
Ekko late game win rateEkko50.8%

Dr. Mundo dominates the early game (first 15 minutes) with a commanding 60.0% win rate — a 20.0 percentage point lead over Ekko. This lopsided early game means Dr. Mundo can dictate the pace of the lane from level 1, controlling trades, wave state, and river priority.

Late game (25+ minutes) is equally balanced, with Ekko at 50.8% win rate — only 1.5 points ahead of Dr. Mundo. Team fight execution and macro play determine the winner at this stage, not champion matchup advantage.

The power dynamics shift as the game progresses — Dr. Mundo has the edge early, but Ekko gradually takes over. However, the margins are slim enough that either champion can win at any stage with the right plays. Focus on taking advantages when you have them rather than waiting for a specific game phase.

Best Dr. Mundo Runes Against Ekko

Precision rune tree - Dr. Mundo primary runes vs EkkoPrecision
Fleet Footwork - best Dr. Mundo rune vs EkkoTriumph - best Dr. Mundo rune vs EkkoLegend: Alacrity - best Dr. Mundo rune vs EkkoCoup de Grace - best Dr. Mundo rune vs Ekko
Inspiration rune tree - Dr. Mundo secondary runes vs EkkoInspiration
Magical Footwear - best Dr. Mundo rune vs EkkoApproach Velocity - best Dr. Mundo rune vs Ekko
60.7% WR

Running Precision primary with Inspiration secondary allows Dr. Mundo to press their advantage against Ekko, amplifying the strengths that make this a favorable matchup.


Dr. Mundo matchup data for League of Legends patch 26.4. The table below shows Dr. Mundo's win rate, gold difference, and performance stats against every champion in the current meta. Click any champion name to see a detailed head-to-head breakdown including the best Dr. Mundo build, runes, laning stats, and early vs late game analysis for that specific matchup.

Dr. Mundo matchup win rates and stats in League of Legends patch 26.4
Opponent
Win Rate
Matches
CS/min
DMG/min
Gold/game
Early WR
Late WR
58.51%3364.687112,43055.7%60.8%
52.94%3101.168311,82152.7%53.1%
51.90%2906.094312,22254.7%49.7%
50.88%2856.21,07712,23359.3%44.9%
47.46%2776.087811,72950.9%45.1%
47.08%2756.888711,66749.5%45.5%
50.92%2744.879711,51349.6%52.1%
48.53%2734.491811,46050.4%46.8%
54.58%2534.973212,09052.8%55.9%
60.98%2465.888412,39061.5%60.5%
49.14%2341.871211,92744.7%53.4%
51.07%2333.082211,42547.6%55.0%
48.07%2337.11,00811,90654.1%42.7%
43.42%2286.61,01811,82337.6%48.7%
46.26%2161.777512,25644.4%47.8%
41.67%2161.475912,32441.7%41.7%
51.78%1971.572012,25253.3%50.5%
55.10%1971.068912,22053.2%56.9%
47.12%1922.076211,73042.4%51.5%
51.43%1756.91,16012,25749.3%52.8%
48.26%1721.071912,07350.0%46.7%
45.40%1636.679711,22137.7%51.1%
45.06%1621.481512,01345.0%45.1%
51.88%1606.780510,81747.6%56.6%
51.57%1605.690811,80448.1%55.0%
50.97%1555.91,11512,16660.0%45.3%
50.65%1541.473412,30652.0%49.4%
52.67%1511.372112,65448.2%55.3%
53.38%1481.475812,15547.3%59.5%
45.95%1485.985310,30142.5%50.8%
46.94%1476.597811,25735.9%55.4%
54.42%1474.383911,75549.3%59.2%
48.53%1377.086012,83551.9%46.4%
60.00%1367.01,04012,49056.5%63.0%
47.41%1357.294312,39355.0%41.3%
48.12%1334.576611,66156.5%39.1%
50.38%1316.678911,77950.8%50.0%
51.97%1271.371312,44852.9%51.3%
50.40%1277.284112,13157.4%45.1%
54.40%1251.377012,12160.0%49.2%
47.58%1246.191311,94146.0%49.2%
57.89%1171.378212,61955.6%60.0%
54.31%1167.191912,61851.2%56.2%
35.09%1141.072911,75128.6%41.4%
59.82%1121.070912,23456.9%63.0%
45.54%1121.473112,40942.6%48.3%
49.09%1102.070511,52548.3%50.0%
59.81%1071.275912,48856.3%62.7%
53.33%1051.076312,13456.0%50.9%
43.56%1026.882910,88728.3%60.4%
49.48%982.380512,04555.6%44.2%
52.63%976.31,26912,60151.4%53.5%
59.57%947.085212,16972.7%48.0%
50.54%931.881912,14951.1%50.0%
53.93%892.971612,37963.3%49.1%
54.02%870.964912,00647.9%61.5%
53.57%842.485412,42153.9%53.3%
54.76%845.578812,41760.0%50.0%
54.32%816.889011,48148.6%59.1%
59.49%794.881011,99957.1%61.4%
55.84%776.572811,87863.3%51.1%
56.94%732.182113,14962.5%52.5%
49.32%731.476713,11245.2%52.4%
55.71%701.887912,73052.0%57.8%
53.62%692.180513,06355.2%52.5%
51.47%682.365411,69957.1%47.5%
47.06%686.677611,81036.7%55.3%
54.69%641.276312,32348.3%60.0%
47.62%636.393311,53944.4%51.9%
50.79%636.191711,77146.4%54.3%
48.39%626.093412,26250.0%47.2%
62.71%591.070012,15053.1%74.1%
52.63%576.81,07012,05647.8%55.9%
58.93%561.176312,82256.5%60.6%
51.85%556.778812,66940.0%58.8%
61.11%546.893211,49264.0%58.6%
56.60%546.076512,05568.2%48.4%
54.00%502.270912,32452.2%55.6%
66.67%487.483112,75968.2%65.4%
46.81%475.688912,68562.5%38.7%
58.70%466.579110,95266.7%52.0%
59.09%451.577412,81069.6%47.6%
60.00%451.785112,45771.4%50.0%
55.56%456.884712,44453.3%56.7%
48.78%411.058712,14863.2%36.4%
52.78%363.581011,38050.0%55.6%
48.48%331.473512,33150.0%47.4%
63.33%302.170212,29463.6%63.2%
50.00%306.194812,21050.0%50.0%
58.62%297.31,09611,65557.9%60.0%
55.17%291.175513,35050.0%57.9%
64.29%283.291413,41885.7%57.1%
46.15%266.879111,70250.0%41.7%
50.00%266.980511,74464.3%33.3%
69.23%262.580112,02578.6%58.3%
56.52%237.689211,89355.6%57.1%
31.82%224.164610,72930.0%33.3%
45.00%201.967911,99355.6%36.4%
40.00%206.673512,61142.9%38.5%
77.78%192.080712,19485.7%72.7%
47.37%196.978211,59445.5%50.0%
52.94%173.469510,88644.4%62.5%
37.50%165.872810,87525.0%50.0%
31.25%162.073113,48520.0%36.4%
62.50%166.084511,29644.4%85.7%
53.33%156.488211,17144.4%66.7%
35.71%147.278413,3100.0%50.0%
16.67%136.877011,18625.0%12.5%
50.00%127.41,01213,23240.0%57.1%
30.00%116.773012,07550.0%25.0%
70.00%103.675515,03766.7%71.4%
80.00%107.199113,11975.0%83.3%
66.67%97.586012,87733.3%83.3%
55.56%97.377712,70133.3%66.7%
66.67%96.292613,21250.0%80.0%
62.50%83.793311,62125.0%100.0%
50.00%83.469011,09466.7%40.0%
0.00%77.26288,9520.0%0.0%
42.86%74.873711,43933.3%50.0%
42.86%75.481314,038100.0%33.3%
0.00%73.099111,7420.0%0.0%
42.86%75.661610,8340.0%60.0%
42.86%73.01,16011,56766.7%25.0%
28.57%77.385912,967100.0%0.0%
50.00%67.370912,66366.7%33.3%
50.00%65.960912,085100.0%40.0%
83.33%67.395414,31466.7%100.0%
50.00%63.376110,969100.0%40.0%
50.00%66.277413,22850.0%50.0%
20.00%53.277211,72750.0%0.0%
40.00%53.86479,21525.0%100.0%
40.00%57.857711,77366.7%0.0%
60.00%55.354410,05366.7%50.0%
20.00%51.97199,6680.0%33.3%
60.00%56.569911,6560.0%75.0%
40.00%57.772210,50450.0%0.0%
40.00%57.28368,77450.0%0.0%
80.00%54.575611,880100.0%50.0%
80.00%55.767010,47575.0%100.0%
100.00%57.688813,078100.0%100.0%
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Dr. Mundo vs Ekko - Frequently Asked Questions

How does Dr. Mundo do against Ekko in League of Legends?

Dr. Mundo wins the Dr. Mundo vs Ekko matchup with a 54.4% win rate compared to Ekko's 45.6%, a 8.8 percentage point difference. This data is based on 125 recent ranked games in patch 26.4.

How does Dr. Mundo do against Ekko in the early game?

In the early game, Dr. Mundo has the advantage against Ekko with a 60.0% win rate versus 40.0%. Dr. Mundo players should look to press their lane advantage through aggressive trades and wave control during the first 15 minutes.

How does Dr. Mundo do against Ekko in the late game?

In the late game, Ekko takes over the Dr. Mundo vs Ekko matchup with a 50.8% win rate compared to 49.2%. Ekko scales better into team fights and objective contests after 25 minutes.

Who wins the Dr. Mundo vs Ekko matchup?

Dr. Mundo wins the matchup against Ekko with a 54.4% win rate in League of Legends patch 26.4. The 8.8 percentage point advantage means Dr. Mundo is significantly favored in this lane matchup based on 125 games analyzed.

What is the best Dr. Mundo build against Ekko?

The best Dr. Mundo build against Ekko includes Heartsteel, Warmog's Armor, Thornmail with Plated Steelcaps. This build achieves a 100.0% win rate in the matchup. Check the matchup breakdown above for the full item path and build order.

What are the best Dr. Mundo runes against Ekko?

The best Dr. Mundo runes against Ekko use the Precision primary tree with Inspiration secondary. This rune setup achieves a 60.7% win rate in the Dr. Mundo vs Ekko matchup. See the full rune breakdown in the matchup comparison above.

Does Dr. Mundo counter Ekko?

Yes, Dr. Mundo has a favorable matchup against Ekko with a 54.4% win rate. Dr. Mundo strongly counters Ekko in lane based on current patch 26.4 data.

How do I play Dr. Mundo against Ekko?

When playing Dr. Mundo against Ekko, leverage your statistical advantages by trading aggressively during favorable windows. You have early game priority — look for kills and zone control before first recall. Build the recommended items and runes for this specific matchup for the best results.