- Win Rate
- 50.8%
- Pick Rate
- 1.9%
- Ban Rate
- 4.0%
Dr. Mundo Top Runes: Keystone & Shards
- Patch
- 26.20
- Games
- 2,427
- Lane
- Top
- Tier
- All Tiers
- Last Updated
- Oct 13, 2026 UTC
- Methodology
- Data Methodology
- Author
- Dakota Chinnick
Best Top Dr. Mundo runes for LoL Patch 26.20 - Grasp of the Undying from the Resolve tree with Inspiration secondary (56.4% WR, 11.6% pick rate). Dr. Mundo's optimal primary runes are Grasp of the Undying, Demolish, Second Wind, Overgrowth. Secondary tree: Magical Footwear, Approach Velocity.
Primary Tree
Resolve
Grasp of the UndyingEvery 4s in combat, your next basic attack on a champion will:
DemolishYour third attack against towers deals [85 (+28% max Health) Melee || 50 (+20% max Health) Ranged] bonus physical damage.
Cooldown: 30s
Second WindAfter taking damage from an enemy champion, heal for 4% of your missing health over 10s.
OvergrowthAbsorb life essence from monsters or enemy minions that die near you, permanently gaining 3 maximum health for every 8.
When you've absorbed 120 monsters or enemy minions, gain an additional 3.5% maximum health.
Magical FootwearYou get free Slightly Magical Footwear at 12 min, but you cannot buy boots before then. For each takedown you acquire the boots 45s sooner.
Slightly Magical Footwear grants you an additional
Approach VelocityGain
Activation Range for CC from allies: 1000
Primary Tree
ResolveGrasp of the UndyingEvery 4s in combat, your next basic attack on a champion will:
DemolishYour third attack against towers deals [85 (+28% max Health) Melee || 50 (+20% max Health) Ranged] bonus physical damage.
Cooldown: 30s
Second WindAfter taking damage from an enemy champion, heal for 4% of your missing health over 10s.
OvergrowthAbsorb life essence from monsters or enemy minions that die near you, permanently gaining 3 maximum health for every 8.
When you've absorbed 120 monsters or enemy minions, gain an additional 3.5% maximum health.
Approach VelocityGain
Activation Range for CC from allies: 1000
Magical FootwearYou get free Slightly Magical Footwear at 12 min, but you cannot buy boots before then. For each takedown you acquire the boots 45s sooner.
Slightly Magical Footwear grants you an additional
Every Dr. Mundo Top Keystone and Secondary Tree (Patch 26.20)
2,347 gamesDr. Mundo Top runs Grasp of the Undying in 95% of games, with a 51.5% win rate. Inspiration is the usual secondary tree (77%). Standard stat shards: Attack Speed (offense), Health Scaling (flex), Health Scaling (defense).
Keystones
| Rune | Players | Win Rate | Games |
|---|---|---|---|
| Grasp of the UndyingMost played | 94.5% | 51.5% | 2,219 |
 Fleet Footwork | 3.7% | 48.3% | 87 |
Secondary trees
| Rune | Players | Win Rate | Games |
|---|---|---|---|
 InspirationMost played | 76.5% | 52.1% | 1,796 |
 Precision | 21.0% | 48.4% | 492 |
Pick rate is the share of Dr. Mundo games in this lane that used the rune; options under 40 games are left out. A higher win rate on a rarely picked rune is usually a matchup-specific choice, not a general upgrade.
Dr. Mundo Minor Runes by Tree
Every minor rune Dr. Mundo players take, grouped by rune tree, with how often it is picked and how often it wins.
Resolve
| Rune | Players | Win Rate | Games |
|---|---|---|---|
| DemolishMost played | 94.4% | 51.4% | 2,216 |
| Overgrowth | 93.7% | 51.6% | 2,200 |
| Second Wind | 87.8% | 51.8% | 2,060 |
 Conditioning | 4.7% | 47.3% | 110 |
 Bone Plating | 2.9% | 50.0% | 68 |
Inspiration
| Rune | Players | Win Rate | Games |
|---|---|---|---|
| Magical FootwearMost played | 70.2% | 52.7% | 1,647 |
| Approach Velocity | 61.7% | 51.7% | 1,448 |
 Biscuit Delivery | 17.5% | 51.3% | 411 |
 Cash Back | 2.8% | 47.7% | 65 |
Precision
| Rune | Players | Win Rate | Games |
|---|---|---|---|
 TriumphMost played | 24.5% | 48.3% | 575 |
 Last Stand | 20.3% | 48.5% | 476 |
 Legend: Alacrity | 4.3% | 48.5% | 101 |
 Coup de Grace | 3.8% | 47.2% | 89 |
Dr. Mundo Stat Shards
Which stat shards Dr. Mundo players choose in each of the three shard rows, and the win rate of each.
| Rune | Players | Win Rate | Games |
|---|---|---|---|
 Health Scaling (defense)Most played | 96.8% | 51.3% | 2,271 |
| Health Scaling (flex) | 96.3% | 51.6% | 2,259 |
 Attack Speed (offense) | 95.3% | 51.3% | 2,237 |
 Adaptive Force (flex) | 2.8% | 36.9% | 65 |
 Ability Haste (offense) | 2.8% | 46.2% | 65 |
| Health (defense) | 2.0% | 48.9% | 47 |
| Adaptive Force (offense) | 1.9% | 46.7% | 45 |
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Dr. Mundo Runes FAQ - Patch 26.20
What is the best keystone for Dr. Mundo Top?
Grasp of the Undying: Dr. Mundo Top takes it in 95% of ranked games and wins 51.5% of 2,219 games. Alternatives: Fleet Footwork (4%, 48.3%).
What stat shards should Dr. Mundo take?
Most Dr. Mundo players take Attack Speed (offense), Health Scaling (flex), Health Scaling (defense) — one from each shard row.
What are the best Dr. Mundo runes in patch 26.20?
The best Dr. Mundo runes in patch 26.20 use the Resolve tree with Grasp of the Undying, Demolish, Second Wind, and Overgrowth, and the Inspiration tree with Magical Footwear and Approach Velocity. This rune setup achieves a 56.4% win rate with a 11.6% pick rate.
What is the win rate for Dr. Mundo's best rune page?
Dr. Mundo's best rune page has a 56.4% win rate in patch 26.20, which is +5.6% compared to Dr. Mundo's average win rate. This rune setup has a 11.6% pick rate among Dr. Mundo players.
What keystone should I use on Dr. Mundo?
Grasp of the Undying from the Resolve tree is the best keystone rune for Dr. Mundo in patch 26.20. This keystone synergizes well with Dr. Mundo's kit and provides a 56.4% win rate.
What is Dr. Mundo's primary rune tree?
Dr. Mundo's primary rune tree is Resolve. The optimal Resolve runes for Dr. Mundo are Grasp of the Undying, Demolish, Second Wind, and Overgrowth, with Grasp of the Undying being the keystone of choice.
What is Dr. Mundo's secondary rune tree?
Dr. Mundo's best secondary rune tree is Inspiration. The recommended Inspiration runes are Magical Footwear and Approach Velocity, which complement Dr. Mundo's Resolve primary tree.
What are alternative rune setups for Dr. Mundo?
An alternative Dr. Mundo rune setup uses Grasp of the Undying from the Resolve tree. This alternate build may be preferred in certain matchups or playstyles. Check the alternative rune page above for full details including win rate and pick rate.
How popular are Dr. Mundo's runes?
Dr. Mundo's top rune page has a 11.6% pick rate in patch 26.20. This indicates that 11.6% of Dr. Mundo players use the Grasp of the Undying setup with Resolve and Inspiration trees.