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Recommended Items
Runes: STANDARD
1
2
3

Resolve
Inspiration
+10% Attack Speed
+10-180 Bonus Health
+10-180 Bonus Health
Spells:
1
2
STANDARD (1)
Flash
Teleport
Items
Ability Order STANDARD SKILL ORDER

Goes Where He Pleases (PASSIVE)
Dr. Mundo Passive Ability
Threats & Synergies
Threats
Synergies
Extreme
Major
Even
Minor
Tiny
Show All
None
Low
Ok
Strong
Ideal
Extreme Threats

Aatrox

Soraka
You usually buy Spirit Visage so you increase the heal she gives as well, she can keep Mundo alive insanely hard.
Synergies
Ideal
Strong
Ok
Low
None

Soraka
You usually buy Spirit Visage so you increase the heal she gives as well, she can keep Mundo alive insanely hard.
Champion Build Guide
ABOUT ME/ FUTURE GUIDES
ABOUT ME
On League I go by Federals1, and since 2018 I have hit challenger with at least 900 lp every single season.

I have also hit Challenger on EUW

I was also the number 1

Over the years have gotten top 10/5 on
I will be livestreaming at https://www.twitch.tv/federals123 , so if you want to check it out and see how it's going be sure to tune in! I will be answering any questions and trying to give my thought process while playing, giving general tips and such. I hope if you end up checking it you will enjoy your time.
FUTURE GUIDES
I will be making more guides in the future, some already being in the works. My goal is to make a guide for every single champion I am extremely confident with, and ones I've been playing for a very long time where I have unique insights to share.
I am currently working on multiple guides but I cannot give an exact date when they will be out. I will post them gradually as I finish them, so if you want to see when they are out for a new champion you can follow and be up to date. To make sure they are done quicker not all of them will them will have a matchup spreadsheet at the start, that alone takes me a week by itself, it's massive.
SIX ACCOUNTS IN CHALLENGER AT ONCE
When season 15 began I decided to challenge myself by going for the most accounts in Challenger at once a single person has ever had, and I have broken that record.

In the picture you can see that I have managed to get six accounts in Challenger AT ONCE, as well as having an extra GrandMaster account at the same time. These accounts are mine and no one else's. It took quite a while, but I am very happy with this acomplishment. I streamed almost the entire climb, and I had a lot of fun! (no like, for real, like legit fun not ironically)

In the picture you can see that I have managed to get six accounts in Challenger AT ONCE, as well as having an extra GrandMaster account at the same time. These accounts are mine and no one else's. It took quite a while, but I am very happy with this acomplishment. I streamed almost the entire climb, and I had a lot of fun! (no like, for real, like legit fun not ironically)
MATCHUP SPREADSHEET
When you click the link it will take you to the matchup spreadsheet for
Dr. Mundo, with every single possible matchup.
https://docs.google.com/spreadsheets/d/1Z9DGU9wMKzOz34syRO-1a8ie9ABzJVmi6jevwvUEcqY/edit?usp=sharing
https://docs.google.com/spreadsheets/d/1Z9DGU9wMKzOz34syRO-1a8ie9ABzJVmi6jevwvUEcqY/edit?usp=sharing
TABLE OF CONTENTS
xMid Game xLate Game
xAll final items explained xAlways Titanic before Overlord's |
xPros xCons |
EARLY GAME
and E
. Your E
poke is more reliable than your Q
one because it goes through minions, but you want to use both to just get them as low as you can, and only after they are low can you go in to kill. You also want to use your W to block out high damaging abilities/ combos, so that would be something like
,
,
, etc. Since your W
stores 80-95% of the damage you take for the first 0.75 seconds it means you can actually eat up a lot of key abilities and walk them off for the most part, but when your W
is down you cannot really take them.You don't look for fights in the river with your jungler or look to invade, your entire game plan is to scale up, so much so that when you hit level 6 you use your ultimate
to regen your
and small amount of extra AD you get. Once you get to around level 8/9 that is actually when you can start looking for longer fights and trying to win out duels more consitently and not having to perma poke the enemy first.It goes without saying but, if you get hard counterpicked you're not a champion, you're basically just a minion. If you fight someone like
MID GAME
Once you get to this part of the game it is much better for you. Once you get your rank 2 ultimate
you are now an actual threat. You can look to fight a lot more champions, tank more, and be an actual threat, in both the 1v1 and teamfights.
That being said, if you happen to fight %
health damage champions like
Fiora,
Sett,
Gwen, etc. they will still very much melt you and even some non top lane champions like
Kai'Sa,
Kog'Maw,
Brand or any % health damage dealer will murder your
health most of the time.
If your enemy laner has better split push power than you, like a
Tryndamere or
Fiora, you have 2 options: either go and force a 4v5 teamfights, or match them in the side lane.
Dr. Mundo can wave clear quite well due to his E
, so he can actually stonewall a lot of split pushers in the side lane.
If the enemy has better teamfighting but is noticably weaker on side lane like
Malphite or
Ornn, your best bet is to just keep forcing that person to answer you in the side lane, and if they cannot clear the waves quick enough you can just destroy turrets. If it is a cannon wave you can guaranteed get a
Demolish proc on the turret and anihilate its health.
you are now an actual threat. You can look to fight a lot more champions, tank more, and be an actual threat, in both the 1v1 and teamfights.That being said, if you happen to fight %
If your enemy laner has better split push power than you, like a
, so he can actually stonewall a lot of split pushers in the side lane.If the enemy has better teamfighting but is noticably weaker on side lane like
LATE GAME
This is
Dr. Mundo's peak in power. Once you gain your rank 3 ultimate
it is go time all the way. You will regenerate
like crazy, and if you have items like
Titanic Hydra or
Overlord's Bloodmail you will deal a TON of damage. You can straight up walk into 5 people and rush for the carry, and the enemy team will need to all focus you down, or else they might risk you unironically 3 tapping their main dps.
But like before, %
health damage is still your biggest enemy, and now it might be worse than ever in terms of how quick you die from it. If you play vs
Gwen she will still destroy your
health, same for a full build
Kai'Sa, or
Brand, or
Twitch,
Kog'Maw,
Fiora, almost any and all %
health damage will make you go from unkillable raidboss, to dying before even half your ult
is done.
If the enemy team has no %
health damage, then you can just perma force a 5v5 and run them down extremely hard, because they will need to use everything they have on you, and even that might not be enough.
it is go time all the way. You will regenerate
like crazy, and if you have items like But like before, %
is done.If the enemy team has no %
ABILITY TIPS AND TRICKS
GOES WHERE HE PLEASES (P)

Once you hit level 15 you can have your passive
be on you at all times. The cooldown
gets to 15 seconds, and when you pick up the canister your reduce 15 seconds, so as long as you constantly pick it up you are cc immune. In the early game do not go for it if it falls close to your opponent, you might take more damage than you end up healing. You can also bait the enemy into a Q
hit by pretending to walk up to get it and then as they get close to stop you, walk back and throw your Q
.INFECTED BONESAW (Q)

Not a whole lot to say here, just a few interactions to point out. If you have healing reduction you, the Q
heal will be reduced, so even if you hit a champion with it you will not gain as much
, or any dot, you will just die from that after.HEART ZAPPER (W)

The first 0.75 seconds store 80-95% of the damage you take, so try to time your W
for a big burst ability or combo, like
,
,
,
+E
+W
combo, etc. Another thing to note here is that if you have items that increase your heal power, like
you gain. So if
on you and you time your W
well, when you recast it his ultimate
will actually heal you. It's good to just keep in mind. Another cool thing to know is that if you manually recast the ability it counts for activating IMORTANT DETAIL: If you are low
and want to ult
, ACTIVATE YOUR ULTIMATE FIRST AND THEN POP W. This is because
gives him extra
, so by being lower
first and then ult
you will gain less BLUNT FORCE TRAUMA (E)

This will reset your auto attack timer, so make sure you always auto attack first and then use E
to get a bit more damage. In lane this is a great poke tool as the passthrough damage doesn't stop on minions, so you can poke through the wave. Another thing that I like to do in a 1v1 is if I don't have
on a minion. The reason being that you will still do some damage with your E
to the champion, but it can also possibly clear out some minions so you have an easier time lining up a Q
hit.MAXIMUM DOSAGE (R)

This is the ability that makes
buffs up his healing even more by giving him an extra effect that makes it to where if enemy champions are near him he will increase the healing and missing hp
he gets. In the early game however, you are not gonna feel any healing, especially the rank 1 ultimate
. If you are low at level 6 you might as well just use it to heal up a bit, it really isn't a combat ultimate at rank 1. Once you hit level 11 you actually don't want to use it like that anymore, but until that point you can just use it to sustain yourself in lane. Also,
, but if you hover over the item it will show that it doesn't but it actually does, it's just an odd bug.
ALL FINAL ITEMS EXPLAINED
Heartsteel: This is
Warmog's Armor: If you want to rush this item you need to get multiple Giant's Belts
before you actually get it. If you rush straight into it, you won't have enough
into
Spirit Visage: Extremely good item for
healing, but it actually does, it just don't say by how much when you hover over the item.
Thornmail: Generally the item you buy if you need heal reduction on
Chempunk Chainsword: You onlt take this in specific matchups where you buy
Mortal Reminder: If you want offensive heal reduction usually it's Chainsword
, but the pen feels nice in some cases and you have a 25% chance to utterly explode any squishy out of orbit.
Sunfire Cape: Good item overall for
Titanic Hydra: The best damage item for
.
Overlord's Bloodmail: This item will give high damage to
. There is a specific section in the guide that showcases why you should always do it this way.
Sterak's Gage: Extremely underrated item for
until you see your Sterak's
proc, so you can actually get low and get more value from your ultimate
, and you don't have to be afraid of getting instantly burst down before you get the ult
off.
Jak'Sho, The Protean: Very good item to take on your 4th or 5th item slot, it will increase your
Dead Man's Plate: Very underrated item, but it feels really good. The slow resist combined with the
Kaenic Rookern: This is the best
Randuin's Omen: Very good item into champs that buy a lot of crit
like
Unending Despair: Due to the fact that
Frozen Heart: Even though it gives mana this item can be bought into comps with champions that auto attack a bunch. Sure, you don't use the mana, but the
Knight's Vow: This item can be done if you are playing a matchup that destroys you in lane and your gold income is lower. You can at least provide more value to one of your carries by eating up damage they take, because you don't provide any cc so you might as well soak up some damage.
Hollow Radiance: Usually you're never taking this, it's a meh item all around, but it can be okay in some specific cases, but very specific cases.
Force of Nature: It's a solid
then
Abyssal Mask: This item will increase your Q
by quite a bit as well as the magic damage of your allies, but you don't really buy this for the
Hullbreaker: I have been taking this item more and more. The turret taking is insane, and it allows you to walk past tanks where they can stonewall you really hard on side lane, such as
Death's Dance: As strange as this seems, Tier 2 boot upgrades:
Boots of Swiftness: Very good boots to take if you wanted to get kited less. Not much else to them really.
Plated Steelcaps: I liked to take these the most on
Mercury's Treads: Even though your passive
makes you immune to crowd control, there are times where there is an insane amount of cc and you need to have some tenacity.Tier 3 boot upgrades:
Swiftmarch: The damage you get from them is nice, but that's about it. You don't have to go for them fast after your 2nd item.
Armored Advance: Very solid shield that allows you to tank up more. The shield value is increased by
Chainlaced Crushers:
ALL POSSIBLE RUNES
KEYSTONE RUNES:
Grasp of the Undying: You are running this keystone 99.9% of the timme. It is the most consistent rune for
Dr. Mundo. Not much to say about it, it's just the keystone rune that fist him best in almost every situation.
Phase Rush: This is an extremely matchup specific rune. You use it into champions like
Tryndamere and
Olaf, where if you get slowed by them you just straight up die as you have no way to pry them off you, so you use
Phase Rush to run away.
Unsealed Spellbook: This rune is taken into matchups where both
Phase Rush and Grasp
and unusable, basically when you would get anihilated if you walked up to proc Grasp
but also where the speed from
Phase Rush doesn't help, so matchups such as
Illaoi,
Irelia,
Varus etc.
RUNE SLOTS:
Triumph: It can be okay to take if you want to, it's actually really good in the late game for the healing.
Legend: Alacrity: You can take either this or
Legend: Bloodline.
Legend: Bloodline:
Dr. Mundo can actually use the
lifesteal rather well due to the high amount of AD he gets.
Last Stand: The best one out of the 3 from its respective space.
Taste of Blood: Decent sustain tool due to the fact that you gain more healing because your E
gives you more AD and you can proc it through minions.
Deep Ward: Best one from its respective space generally.
Ultimate Hunter:
Dr. Mundo needs his ultimate
to function later on into the game on every single fight, so the reduction from this helps quite a bit.
Nimbus Cloak: Generally good rune.
Axiom Arcanist: It works with your ultimate
to increase the healing you gain, and it can work quite well. You can get very good value out of it.
Transcendence:
Dr. Mundo likes to gain
Ability Haste for his ultimate
so this works rather well for that.
Celerity: It buffs up your
Phase Rush speed and your ultimate
speed, so it can be okay.
Gathering Storm: The only usable rune in its respective slot for
Dr. Mundo.
Demolish: Best rune in its slot by far, the push power is massive.
Conditioning: More scaling as you get into the mid game, but the
Second Wind healing is usually needed for the laning phase.
Second Wind: Best rune in its respective space for sustaining in the lane. It also heals more when you get
Spirit Visage.
Overgrowth: Best rune to take on that slot, the other ones never.
Magical Footwear: Usually you will take this on the secondary rune page, they feel good for
Dr. Mundo.
Cash back: When taking
Unsealed Spellbook you might take
Cash Back over
Magical Footwear to try and cheat out as much gold as you can because you're already gonna get destroyed if you need to take Spellbook
as your keystone.
Triple Tonic: The extra skill point isn't that great for
Dr. Mundo but it can be decent. The second pot is also basically completely useless and it won't allow you to win a 1v1 with the increased AD.
Biscuit Delivery: I actually take this quite a bit because the sustain helps out a lot at first in lanes where they will constantly poke you down. Use them when you are low to gain some good value from them, and if you combine them with your ultimate
, you will surprise your opponent due to the amount of
health you gain.
Approach Velocity: Best rune for
Dr. Mundo in it's respective space, you also generally take it on your secondary runes alongside
Magical Footwear.
Cosmic Insight: You take this over
Approach Velocity when your keystone rune is
Unsealed Spellbook as the lower
Teleport cooldown comes in handy very well.
Grasp of the Undying: You are running this keystone 99.9% of the timme. It is the most consistent rune for
Phase Rush: This is an extremely matchup specific rune. You use it into champions like
Unsealed Spellbook: This rune is taken into matchups where both
and unusable, basically when you would get anihilated if you walked up to proc Grasp
but also where the speed from RUNE SLOTS:
Triumph: It can be okay to take if you want to, it's actually really good in the late game for the healing.
Legend: Alacrity: You can take either this or
Legend: Bloodline:
Last Stand: The best one out of the 3 from its respective space.
Taste of Blood: Decent sustain tool due to the fact that you gain more healing because your E
gives you more AD and you can proc it through minions.
Deep Ward: Best one from its respective space generally.
Ultimate Hunter:
to function later on into the game on every single fight, so the reduction from this helps quite a bit.
Nimbus Cloak: Generally good rune.
Axiom Arcanist: It works with your ultimate
to increase the healing you gain, and it can work quite well. You can get very good value out of it.
Transcendence:
so this works rather well for that.
Celerity: It buffs up your
speed, so it can be okay.
Gathering Storm: The only usable rune in its respective slot for
Demolish: Best rune in its slot by far, the push power is massive.
Conditioning: More scaling as you get into the mid game, but the
Second Wind: Best rune in its respective space for sustaining in the lane. It also heals more when you get
Overgrowth: Best rune to take on that slot, the other ones never.
Magical Footwear: Usually you will take this on the secondary rune page, they feel good for
Cash back: When taking
as your keystone.
Triple Tonic: The extra skill point isn't that great for
Biscuit Delivery: I actually take this quite a bit because the sustain helps out a lot at first in lanes where they will constantly poke you down. Use them when you are low to gain some good value from them, and if you combine them with your ultimate
, you will surprise your opponent due to the amount of
Approach Velocity: Best rune for
Cosmic Insight: You take this over
ALWAYS TITANIC HYDRA BEFORE OVERLORD'S BLOODMAIL
The reason you want to always do
Titanic Hydra before
Overlord's Bloodmail is because
Titanic Hydra ALWAYS outdamages
Overlord's Bloodmail. I actually made a video to showcase this:
You can see that even at literally full build, having
Titanic Hydra is going to give you more dps almost always, you need to get the full value of being low health on
Overlord's Bloodmail for it to BARELY deal more damage, and that doesn't account for the fact that
Titanic Hydra has an AOE effect and an active that deals even more damage, and that also resets your auto attack timer, enabling you to do even higher damage. Even though it shows you have more AD with Overlord's
,
Titanic Hydra also has an effect that gives you more damage, just not AD. It makes your basic attacks deal % max
health damage, but because
Dr. Mundo has no AD scalings and only deals damage through his auto attacks and E
, it acts exactly like actually gaining AD.
You can see that even at literally full build, having
,
, it acts exactly like actually gaining AD.
PROS
+Decently safe lane as he can farm from afar with Q
+Good poke due to his Q and E
+Extremely tanky going into the mid game
+Forces enemies to buy heal reduction just for him
+Close to immortal when you get to the late game
+Is a monster at taking down turrets
+Mixed damage that doesn't fully fall off later on
+Can be permanently cc immune late game if the enemies don't walk over his passive canister
+Can soak up a lot of pressure in the late game, you basically need 3/4 people on him at all times to kill him
+Good poke due to his Q and E
+Extremely tanky going into the mid game
+Forces enemies to buy heal reduction just for him
+Close to immortal when you get to the late game
+Is a monster at taking down turrets
+Mixed damage that doesn't fully fall off later on
+Can be permanently cc immune late game if the enemies don't walk over his passive canister
+Can soak up a lot of pressure in the late game, you basically need 3/4 people on him at all times to kill him
CONS
-Absolutely no early game pressure, you're never getting priority
-If he gets hard counterpicked he's completely useless and can do close to nothing
-% health damage will always murder him even in the late game, he gets shredded by it
-Has no hard cc, he only has his Q slow
-Gets outscaled in some matchups but also doesn't bully them in lane
-Has no peel, if an assassin jumps on a squishy the best he can do is throw a slow
-If he gets hard counterpicked he's completely useless and can do close to nothing
-% health damage will always murder him even in the late game, he gets shredded by it
-Has no hard cc, he only has his Q slow
-Gets outscaled in some matchups but also doesn't bully them in lane
-Has no peel, if an assassin jumps on a squishy the best he can do is throw a slow
DR. MUNDO VS CAMILLE VIDEO GUIDE
This is a video I made going in depth on the matchup between
Dr. Mundo and
Camille. In my eyes I am of the opinion that
Dr. Mundo actually COUNTERS
Camille and not the way around. Hopefully the video does a good job of explaining why I think that is the case and how you can win the matchup more reliably:
OTHER GUIDES
If you liked this guide, perhaps you would like to check out some of my other ones as well. As I make more guides for more champions this list will be updated to contain all of them. Simply click on the words below the champion portrait and it will take you to the respective guide.
Volibear Top Guide
Darius Top Guide
Olaf Top Guide
Garen Top Guide
Mordekaiser Top Guide
Udyr Top Guide
Warwick Top Guide
UPDATE LOG
Here there will be a list of all the significant changes I am going to make going forward on the guide, so you can look here to see what the newest updates are, or old ones:
27th May 2025:
- changed
Jak'Sho, The Protean to
Warmog's Armor in the standard build
Patch 25.09
1st May 2025:
- added
Warwick to the other guides chapter
Patch 25.05
16th March 2025:
- added
Dead Man's Plate as a possible item to take
Patch 25.04
3rd March 2025:
- added a new guide chapter called Six Accounts in Challenger at once
24th February 2025:
- changed
Unending Despair to
Jak'Sho, The Protean in the standard build
Patch 25.S1.2
24th January 2025:
- added
Axiom Arcanist as a possible rune to take
Patch 25.S1.1
17th January 2025:
- changed
Sterak's Gage to
Unending Despair in the standard build
-
Warmog's Armor can no longer be taken as the 1st item on
Dr. Mundo
- added tier 3 boots to the items section
- added tier 2 and tier 3 boots to the all final items explained guide chapter after all the legendary items
-
Eyeball Collection has been removed, so the new rune
Deep Ward has been placed in its place as a possible rune you can take
- removed
Nullifying Orb as a rune you can take on
Dr. Mundo as it has been removed from the game
7th December 2024:
- added
Udyr to the other guides chapter
Patch 14.22
9th November 2024:
- added the link to the matchup spreadsheet as it has been completed
- added
Chempunk Chainsword and
Mortal Reminder as possible item choices
Patch 14.20
9th October 2024:
- added
Mordekaiser to the other guides chapter
Patch 14.19
5th October 2024:
- added other guides chapter
- added table of contents
25th September 2024:
- added some visual flair and coloring to every guide chapter section exept pros and cons, no need for those
Update Log
Season 15
Patch 25.1027th May 2025:
- changed
Patch 25.09
1st May 2025:
- added
Patch 25.05
16th March 2025:
- added
Patch 25.04
3rd March 2025:
- added a new guide chapter called Six Accounts in Challenger at once
24th February 2025:
- changed
Patch 25.S1.2
24th January 2025:
- added
Patch 25.S1.1
17th January 2025:
- changed
-
- added tier 3 boots to the items section
- added tier 2 and tier 3 boots to the all final items explained guide chapter after all the legendary items
-
- removed
Season 14
Patch 14.237th December 2024:
- added
Patch 14.22
9th November 2024:
- added the link to the matchup spreadsheet as it has been completed
- added
Patch 14.20
9th October 2024:
- added
Patch 14.19
5th October 2024:
- added other guides chapter
- added table of contents
25th September 2024:
- added some visual flair and coloring to every guide chapter section exept pros and cons, no need for those





































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