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Dr. Mundo
All Champions
Dr. Mundo
Tier S+
Patch 16.1749.43% Win RateTankFighter

Dr. Mundo Arena Build Guide

The Madman of Zaun

Utterly mad, tragically homicidal, and horrifyingly purple, Dr. Mundo is what keeps many of Zaun's citizens indoors on particularly dark nights. Now a self-proclaimed physician, he was once a patient of Zaun's most infamous asylum. After "curing" the...

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Recommended Items for Dr. Mundo in Arena

Optimal 2v2 combat item build path for Dr. Mundo. Build your core synergy items first, prioritize speed with tailored boots, and adapt situational picks to counter enemy comps.

Core Build5 items
Black Hole Gauntlet
Black Hole GauntletFirst Item Spike
Heartsteel
HeartsteelCore Item #2
Overlord's Bloodmail
Overlord's BloodmailCore Item #3
Spirit Visage
Spirit VisageCore Item #4
Thornmail
ThornmailCore Item #5
Boots Selection4 options
Mercury's Treads
Mercury's TreadsPreferred Boots
Plated Steelcaps
Plated SteelcapsAlternative Option
Boots of Swiftness
Boots of SwiftnessAlternative Option
Ionian Boots of Lucidity
Ionian Boots of LucidityAlternative Option
Situational & Counters2 items
Titanic Hydra
Titanic HydraCounter / Late Game
Sunfire Aegis
Sunfire AegisCounter / Late Game

Best Augments for Dr. Mundo in Arena

Top-performing Prismatic, Gold, and Silver augments tailored to maximize Dr. Mundo's combat scaling, ability cooldowns, and survivability in 2v2 Arena rounds.

Prismatic Augments
Tier 1 Priority
Goliath
GoliathPrismatic Synergizer

Become large, gaining 15% Health and 10% Adaptive Force.

Dreadbringer
DreadbringerPrismatic Synergizer

Gain an aura that continuously harvests permanent Cursed Power per enemy champion inside. Gain max Health based on your Cursed Power.

Center of the Universe
Center of the UniversePrismatic Synergizer

Stars orbit you, dealing magic damage to enemies they pass through.

Gold Augments
Tier 2 Core
Tank Engine
Tank EngineGold Power Spike

Gain increased size and percent bonus Health per takedown.

Quest: Steel Your Heart
Quest: Steel Your HeartGold Power Spike

Requirement: Possess Heartsteel with 400+ stacks. Reward: Multiply your Heartsteel stacks by 3. Increase your Health Regeneration by 12.5% of your Heartsteel stacks.

Celestial Body
Celestial BodyGold Power Spike

Gain 1000 Health, but you deal 10% less damage.

Silver Augments
Utility & Stats
Heavy Hitter
Heavy HitterSilver Utility

Your Attacks deal additional physical damage equal to 3.5% of your max Health.

Clothesline
ClotheslineSilver Utility

There is a tether connecting your team, deals constant magic damage to enemies it touches.

Augmented Power
Augmented PowerSilver Utility

Increase the damage done by your augments and items by .

Best Prismatic Items for Dr. Mundo in Arena

Prismatic items tier list ranked by performance synergy on Dr. Mundo. Aim to roll S-Tier items in your round 3 anvil choices to secure early combat dominance.

S-TierS-Tier (Must Pick)
11 items
Black Hole Gauntlet
Black Hole GauntletTier S+
Gargoyle Stoneplate
Gargoyle StoneplateTier S+
Radiant Virtue
Radiant VirtueTier S+
Warmog's Armor
Warmog's ArmorTier S+
Cloak of Starry Night
Cloak of Starry NightTier S
Demon King's Crown
Demon King's CrownTier S
Diamond-Tipped Spear
Diamond-Tipped SpearTier S
Dragonheart
DragonheartTier S
Eleisa's Miracle
Eleisa's MiracleTier S
Lightning Rod
Lightning RodTier S
Shield of Molten Stone
Shield of Molten StoneTier S
A-TierA-Tier (Strong Synergies)
12 items
Cruelty
CrueltyTier A
Darksteel Talons
Darksteel TalonsTier A
Decapitator
DecapitatorTier A
Demonic Embrace
Demonic EmbraceTier A
Detonation Orb
Detonation OrbTier A
Divine Sunderer
Divine SundererTier A
Force Of Entropy
Force Of EntropyTier A
Goredrinker
GoredrinkerTier A
Night Harvester
Night HarvesterTier A
Puppeteer
PuppeteerTier A
Pyromancer's Cloak
Pyromancer's CloakTier A
Turbo Chemtank
Turbo ChemtankTier A
B-TierB-Tier (Viable Options)
12 items
Flesheater
FlesheaterTier B
Fulmination
FulminationTier B
Hemomancer's Helm
Hemomancer's HelmTier B
Hexbolt Companion
Hexbolt CompanionTier B
Innervating Locket
Innervating LocketTier B
Kinkou Jitte
Kinkou JitteTier B
Reaper's Toll
Reaper's TollTier B
Reverberation
ReverberationTier B
Runecarver
RunecarverTier B
Sanguine Gift
Sanguine GiftTier B
Sword of the Divine
Sword of the DivineTier B
Talisman Of Ascension
Talisman Of AscensionTier B
C/DC / D-Tier (Situational)
12 items
Crown of the Shattered Queen
Crown of the Shattered QueenTier C
Hamstringer
HamstringerTier C
Mirage Blade
Mirage BladeTier C
Moonflair Spellblade
Moonflair SpellbladeTier C
Prowler's Claw
Prowler's ClawTier C
Reality Fracture
Reality FractureTier C
Regicide
RegicideTier C
Duskblade of Draktharr
Duskblade of DraktharrTier D
Empyrean Promise
Empyrean PromiseTier D
Galeforce
GaleforceTier D
Gambler's Blade
Gambler's BladeTier D
Twilight's Edge
Twilight's EdgeTier D

Dr. Mundo Abilities & Kit Overview

Comprehensive breakdown of Dr. Mundo's passive and active spells in Arena mode, highlighting ability interactions and combo execution.

Goes Where He Pleases
Passive

Goes Where He Pleases

Dr. Mundo resists the first Immobilizing effect that hits him, instead losing Health and dropping a chemical cannister nearby. Dr. Mundo can pick it up by walking over it, restoring Health and reducing this Ability's Cooldown. Dr. Mundo also has significantly increased Health regeneration.

Infected Bonesaw
Q Spell

Infected Bonesaw

Dr. Mundo throws an infected bonesaw, dealing damage to the first enemy hit based on their current health and slowing them.

Heart Zapper
W Spell

Heart Zapper

Dr. Mundo electrocutes himself, dealing persistent damage to nearby enemies and storing a portion of damage he takes. At the end of the duration or on Recast, Dr. Mundo deals a burst of damage to nearby enemies. If the burst hit an enemy, he heals a percentage of the stored damage.

Blunt Force Trauma
E Spell

Blunt Force Trauma

Passive - Dr. Mundo gains bonus Attack Damage, increasing based on his max Health. Active - Dr. Mundo slams his “medical” bag into an enemy, dealing additional damage based on his missing Health. If the enemy dies they are swatted away, dealing damage to enemies they pass through.

Maximum Dosage
R Spell

Maximum Dosage

Dr. Mundo pumps himself with chemicals, instantly healing a percent of his missing Health. He then gains Move Speed and regenerates a portion of his maximum Health over a long duration.

Frequently Asked Questions about Dr. Mundo in Arena

Common Arena build strategies, augment interactions, and item synergies answered for Dr. Mundo.

The best Arena build for Dr. Mundo in patch 16.17.1 currently sits at Tier S+ (49.43% win rate). The optimal core items include Black Hole Gauntlet, Heartsteel, Overlord's Bloodmail, paired with Mercury's Treads or Plated Steelcaps. Adjust your situational items to counter burst assassins, heavy tanks, or healing comps in later rounds.

The top Prismatic augments for Dr. Mundo are Goliath, Dreadbringer, Center of the Universe. These augments provide massive combat scalings and ability enhancements that synergize directly with Dr. Mundo's kit to win late-game rounds.

The best Prismatic items to roll on Dr. Mundo include Black Hole Gauntlet, Gargoyle Stoneplate, Radiant Virtue. Securing one of these S-Tier prismatic items in the early rounds gives Dr. Mundo a decisive stat and passive advantage over enemy pairs.