Dr. Mundo Build Guide by AP WormMaW Mid
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Dr. Mundo Build
+15-135 Health (at levels 1-18) and +10 ability power or +6 attack damage, adaptive
Standard build example
My name is AP WormMaW Mid and I am AP Kogmaw main since season 3. I was Master tier season 4 and season 5 in soloQ, ending up in Challenger in 5v5 bracket during these seasons as well. Last season I ended up in Diamond 1 on EUW and Master tier 160LP on EUNE.
My main account profiles can be found here: EUNE, EUW
Even though, my main role is midlane, there were times, when top was my main role instead and I still do actively play it, keeping my ability to play it close to my ability to play midlane.
Reason why I decided to create this guide is, that I feel like Dr. Mundo is really underrated champion with really good potential (at least from soloQ perspective). Mostly he is being considered as something between mediocore to "pretty bad". Why I really like playing Dr. Mundo is, because he is versatile pick that expecially excels against magic-damage dealers. And since I already made Malphite guide, which is champion that excels against physical-damage dealers, I felt like it would be great, to add this guy in here as well, since both of those champions are my best toplane picks right now.
During preseason, I managed to pull off experiment, where I created new account, that I leveled up and I started to play from unranked and climb as much as possible just by playing Malphite and Dr. Mundo. Since I leveled up this account myself, it was guaranteed, that it didn't have any history. You can see results from this experiment below.
Account that I used for this experiment can be found here.
For commentary, I wasn't able to get latest data from op.gg, because they removed all preseason data one day before season started, which I didn't really expect, so I didn't really get winrates and KDAs from there, but I kept one screenshot, that I took during process (for such cases). You can see final results taken from lolskill.net (last screenshot).
As you can see, at first I was able to keep up quite decent winrate, while it started to drop later on snowly. I am sure that there would be people, who can make even better winrate, since I am not really toplane main and I didn't play toplane for quite a while + I am not perfect player either. But still, I think that I managed to get quite decent KDAs and winratios with mentioned champions.
I was playing Dr. Mundo way more, because he is harder to counter and because it was my go-for pick, when I didn't know my opponent, which might lead in harder matchups sometimes, while I tried to keep Malphite mostly for matchups, where I knew my opponent, so it was basically easier to keep up decent winrate and KDA ratios.
My final elo was Plat 2, I was nearly in promo and I was getting around +25 for win and -15 for loss, which means that my MMR was somewhere around Diamond 5.
In case that you had some doubts about these champions, then I hope that I provided you with at least some valuable information, in case that you would be deciding if you want to pick some of these champions, in order to add them to your champion pool.
Pros / Cons
+ Incredibly tanky
+ Great sustain
+ Generally good damage output
+ Possibility to splitpush or teamfight
+ Incredibly strong against magic-damage
- Weak early
- Can be kited by various targets
- Pretty bad, when he gets behind
- Lack of CC/utility
- Hard to play against tank-melting opponents
Mundo can be generally played against nearly anything on toplane. As I already mentioned, he excels against magic-damage dealers and he is able to become nearly immortal, against such teams. Except for that, he has pretty good ability to splitpush and if he gets caught, he still mostly has high chance to escape that trap.
What he hates though is, when someone can melt him down really fast, which mostly means facing Vayne or Kog'Maw, but except for that he can live for quite a long time, even if he gets focused in teamfight by entire enemy team.
Here, I will try to explain possible rune choices for Dr. Mundo, even though it feels like sometimes there might be multiple viable choices and the difference might be very low. I wan't to point out, that I will mention only those runes, that I somehow consider interesting for comparison, so there might not be all runes explained, because it would just result in incredible wall of text that nearly no one would ever read. So let's get started!
|From first look, Sorcery looks like viable option, since it has either way Summon Aery, which is pretty decent either way when you poke, or even if you trade with autoattacks. Another possiblity is to run Arcane Comet, that would be great together with your Infected Cleaver, that provides slow and makes it hard to juke Arcane Comet.
What makes it annoying for me is that last row in Sorcery, which is choice between Scorch, Waterwalking and Gathering Storm. If you would probably have to choose anything out of these three, it would probably be Scorch, but none of them is really great for Dr. Mundo.
|For reason mentioned above, I decided to go for Resolve, because generally, you have way more options to benefit with your very high health pool. Except for that you can pretty much get really good rune on every single slot, making more value on them over Sorcery ones.|
|This rune is pretty much the only usable one for Dr. Mundo in Resolve tree. Even with that fact, there is no problem with it, since it provides things that you exactly need. By that I mean extra damage, depending on your % health, in addition to neverending health stacking - and we all know, that Dr. Mundo loves additional health. With lategame health pool (sitting around 5k health), you will be doing really huge hits into squishy targets, expecially when you have your Masochism active.|
|This is really decent rune, if you prefer having bigger fighting potential. Since you have to chase people a lot, extra tenacity is always great to have, even though I don't prefer it myself, but here you can feel free to choose yourself.|
|Since I am trying to splitpush quite a lot with Dr. Mundo, then I made my personal preference on this rune. With it, combined with really high health pool, you are able to utilize this rune really well and destroy turrets easily. Though, as I mentioned above, it is up to you and your personal playstyle, what will you want to choose here.|
||I am going to just wrap these up in here together. Both of them look good for specific situation during early game. What I see as a problem is, that no matter which one you choose, you are going to be still weak during early game as Dr. Mundo and you will end up farming mostly with your Infected Cleaver. For that reason, my advice here is to make investment into lategame, instead of choosing this rune, that would make nearly no difference anyways.|
|This rune is literally what Dr. Mundo needs. It allows you to increase your health pool even further, which is exactly what you want to do in order to become that unkillable beast. Best thing is, that you are utilizing it's scaling potential even during siege of enemy objectives, where you are mostly not able to get any farm, which doesn't really matter in this case.|
|This is second possiblity, that you might choose if you don't want to run Overgrowth. What I see as a problem, which is why I don't run it myself is, that once when your opponents get healing reduction, they will make this rune pretty much worthless. You already have enough healing out of your passive and ultimate, which is why you should focus for getting highest possible health pool instead, to support cappability of those things in addition to reduction of possibility, that you get melted down in a few seconds, which might happen expecially in lategame, where carries already have full builds.|
Let's now compare these two possibilities for secondary tree, as the most viable ones. Here, the main deal is, that many mundo players are actually running Domination for extra sustain, even though me personally, I like Sorcery more for certain reasons, that I will try to explain here, even though again, it's more about personal preference and both things are possible.
||This is possibility, that most Dr. Mundo players are using. Main thing is, that Ravenous Hunter gives you really great sustain, when you are hitting your cleavers, expecially when they deal damage depending on % of opponent's current health. This gives you way better sustain in lane and generally even in teamfights.
In terms of Cheap Shot, it's simply extra damage, which never hurts and since it's true damage, you should never ignore this kind of thing, expecially when you can constantly hit your Infected Cleaver, to benefit from this.
What I don't personally like about this though, is the fact that pretty much no matter how you build up your items, you will still end up having around 20-30% CDR and since you are mostly strong only during your ult, because it's not just about healing that you receive, it's about movespeed as well, then it might be way harder to play, if you don't have your ult up for teamfights.
Except for that, once when your opponent manages to take healing reduction, your Ravenous Hunter will not be any efficient anymore.
Last thing to add is, that since you are building Warmog's Armor, then once you build it up, your additional sustain is pretty much worthless, unless you are in teamfight, where you will have your healing mostly reduced anyways, so that makes Ravenous Hunter even more awkward.
||In case of The Ultimate Hat, it's perfect rune, to reach better utilization for your Sadism. With this, your ult will be way more available, no matter how often you are trying to fight with enemy team.
For Transcendence, it is really useful, since you pretty much can't get your CDR cap out of your item build. For that reason, reducing cooldown of all your abilities further increases your damage potential, uptime on target (with constant slows from your Infected Cleaver), as well as your Sadism uptime. For most of champions this rune is just a trap, because it gives you nothing early on, but since Dr. Mundo is really weak early, it doesn't really matter for you, because you will be pretty much forced to farm no matter what in most of situations.
For this reason, I find it better to run Sorcery as a secondary tree, generally just for that cooldown reduction, that it provides, because no matter what you get, you are really strong only during your Sadism, because otherwise it's quite hard to chase down your opponents, expecially if they have any kind of dash, to get away from you.
|This is my starting item every single game. It provides you with some extra health, together with health regen, which is perfect for Dr. Mundo in early game, when you are trying to farm from distance with your Infected Cleaver.|
|These boots are my usual ones as Dr. Mundo, since you are already having a lot of MR, thanks to your passive and generally AP champions are not really threat against you. For that reason, I like to have that extra damage reduction for autoattacks, that are usually more of a threat, when you are in teamfight and getting hit by nearly everyone.|
|If you are facing AP-heavy team, you should always go for double MR item, but even then, you should rather keep Ninja Tabi. This item is viable choice only, if you are facing opponents, with a lot of CC. Except for that, it's not really worth it.|
||Typically, Spirit Visage and Thornmail are my usual first two big items. Though, this is closely connected to my personal playstyle, which is that I generally don't like to push my lane, if I don't intend to do it. To say it differently, I like to control, when I am pushing and when I am not. For that reason, I am going Thornmail instead of Sunfire Cape, which is otherwise totally valid option as well, so if you like that extra AoE damage and pushing potential, you should go for Sunfire Cape.
In terms of Spirit Visage, that is simply obvious core item on Dr. Mundo, since it offers you Health, MR, CDR but more importantly - increased healing.
These items (or generally one Spirit Visage + any armor item) should be core for you, before you proceed with next items, to get some basic defenses. You can possibly omit armor item, if you are facing 4 AP champions and enemy ADC is really behind. In that case Ninja Tabi is sufficient.
| Warmog's Armor is mandatory item in your build. It boosts your health pool, which will allow you to survive in teamfights way more, due to higher amount of health, together with buff to your health regenerations.
What is most important about this item, is it's passive part, that is regenerating your health, when you are not taking any damage for certain amount of time. This is expecially useful, when you were trading with someone and you ended up being at lower amount of health. With it, you can regenerate to full in matter of seconds, without any need of using your Sadism. It is as well perfect, whenever teamfight time extends and people start chasing each other. If you end up at lower health in such situation and without ult, you can just disengage for about 15 seconds, regenerating huge amount of health, and coming back to help your teammates again.
| Adaptive Helm is really great item against most of heavy-AP teams. Main reason, why you would want to build this item, is it's passive though, which reduces magic damage from repetitive damage, countering champions like Malzahar, Cassiopeia, Swain or even Kog'Maw and so on. If you ever build up Adaptive Helm against these champions, they will have hard time to deal any kind of damage to you, even if they manage to get their Void Staff.
On the other hand, if they are heavy-AP, but they still have no champions with repetitive damage, it is more useful to aim for item like Locket of the Iron Solari or Gargoyle Stoneplate.
|Main purpose of this item is mainly to have extra movement speed slow, but more importantly, to reduce damage from critical strikes. You should aim to build up this item, against any ADC that is playing around crit build, or possibly even against Yasuo. You should never underestimate power of this item, because the reduction, that you get to those crits is really incredible, since in lategame, you are mostly getting melted just by ADC.
On the other hand, if enemy team has ADC like Ezreal, then you should never bother to invest gold in such item and if you would need some armor item, you might instead build up Dead Man's Plate.
|Dead Man's Plate is viable choice, whenever you need additional armor, while you are not aiming for Randuin's Omen, since your opponents are not having any champions with critical strikes. But except for that, I wouldn't really recommend this item in any other situation.|
|Support item for Dr. Mundo?! Answer is... yes!!! Well, not every time, but situationally, it is great item, when you are taking too much magic damage, while their team has no champions with repetitive damage, which makes Adaptive Helm quite awkward to buy. It is as well pretty good compromise, if you need Armor and MR at same time. Another great thing is, that you can use this item in teamfight to peel for your carries, when someone is trying to assasinate them, since due to your very high amount of health, the shield value will be really high as well.
The only downside of this item might be, that it offers no health, but it still shouldn't be problem, since rest of your items will have some health in it (or it should have).
|Gargoyle Stoneplate is another really great item, whenever you need both Armor and MR for last item slot and it's mostly valuable to have, when you are the only tank on your team and you expect, that enemy team will focus you down and melt you quite fast. In such case, it's great to have such surviving tool, even though it reduces your damage output.|
Since kit of Dr. Mundo is pretty straightforward, there isn't really too much of a need to actually explain it to details, but I will try to at least explain, why do I have this kind of spell-maxing order.
|Infected Cleaver is basically your core ability since start. It allows you to farm from safe distance or simply poke down your opponent, until you get yourself some defensive items, to be tanky enough when you start going for some face-to-face trades. It is as well reason, why Dr. Mundo is really strong against most of tank champions, because he can simply use this to melt their health at start.|
|This is another great ability for your damage output, when you are trading someone in close combat. It increases your attack damage by huge amount, in addition to bonus damage on first hit, scaling with your health amount.
Except for that, it has really great additional effect, which is reason, why are you so strong against all magic-damage dealers. Whenever you take magical damage or possibly use any of your abilities, you get scaling % MR bonus. Due to that, you can just toggle on your Burning Agony and once you have rank 5 of this ability, you get additional 30% of MR for free, making you nearly invincible against most of casters.
One more important note here - don't forget, that Masochism resets autoattack timer, so whenever you are trading or generally trying to deal damage, you should always try to autoattack and activate this ability right after, to do faster "double attack". This is very important to do, no matter if you are fighting some player or possibly just trying to push lane or tower as fast as possible.
|Burning Agony is probably one of the least interesting abilities. It is great, to keep permanent effect of MR bonus from your Masochism, but except for that, it's mostly useful just for pushing waves fast, since your uptime on your opponents might not always be the best, if you chase someone down.|
|To not confuse anyone - Sadism is highest priority spell, that you take whenever you are level 6/11/16, but that works for any champion. Reason why I kept it as last ability to talk about is to wrap it all up and to just explain how is this ability supposed to be utilized.
At first, most simple scenario you basically use this ability, whenever you want to chase down someone, since it gives you important movement speed boost, but that is not really too important.
Important here is to understand synergy between Sadism and Masochism. The main deal here is, that healing of Sadism is reducing efficiency of Masochism, because the less health you have, the more AD you get from Masochism. So basically the best scenario is to use it at lower health, to keep yourself on lowest possible level during entire teamfight. That is really nice on the paper, but in reality, if you use your Sadism too late, it might not save you anymore, expecially when your opponents are having Morellonomicon to reduce your healing, which is effective only below 35% of health.
The utilization of this ability is one bigger part, that differentiates good Dr. Mundo from bad one. Is there Morellonomicon user around? Are my opponents, that I am fighting behind, so I can afford to use my Sadism later on? Aren't here any champions, that deal damage depending on missing health? Mostly it's even closely connected on your playstyle, when sometimes you can use your ultimate at lower health, then you realise, that you might still die, so you kite your opponents for few seconds and then return to fight right after and keep fighting.
What I am trying to say here might be obvious for many readers and they might be thinking, that I am a bit weird, that I am pointing it out, but from my experience, many people don't really understand interconnections of champions kits and even on simple champion like Dr. Mundo. To be able to get the most of any champion, we need to first understand how kit works together, before we start building our items around it.
Even though Dr. Mundo doesn't have complicated build, there are still quite some things, that you should understand, if you want to be any successful with him. Even for me, when I picked up Dr. Mundo for first time, I didn't really feel like he would be that insane, until I started to realise in which moments he is actually strong or possibly weak.
For that reason, I will try to explain here, how you should play during game and how are you supposed to react on certain situations.
First important thing to understand here is, that you are really squishy in early game. You don't really have your defenses up yet and in addition, your abilities cost you health, which is putting you into awkward position, when you are fighting someone, because while you are damaging your opponent, you are damaging yourself as well. So until you get certain amount of health, it is very tricky to trade anyone in lane, because even though you might win sometimes, mostly it will cost you life and put you behind.
What you should aim for here is consistency. By consistency I mean, that you should play in a way, that you won't end up really well during one game, while during other game you will get completely stomped and flamed by your team. During laning phase, you should basically just farm by your Infected Cleaver and let your opponent push under your tower. Since you have no escape and you are squishy in early phases of game, you are quite easy target for gank, so play it safe and try to farm up. You should be able to pull off this strategy pretty much against any opponent.
Once when you have at least part of first item finnished, you can start slowly trading your opponent and if you will feel confident enough, try to go for all-in with your Sadism. But be careful, it might still be tricky to actually win such fight, expecially if your enemy is running between minions to avoid your Infected Cleaver. So whenever you will see, that you might not win, rather escape and keep on farming, until you get your Sadism again to try it another time.
During mid game, you have two possible choices - either way you group up and teamfight with your teammates, or you possibly splitpush with your Demolish. To be honest, whenever your team is winning or you are generally ahead and you see that you can clearly obliterate opponents in teamfights, it's better to group, because if you don't you risk that your team gets caught over and over, expecially in soloQ, which might lead to loss in the end effect.
On the other hand, if your team is behind and you clearly see, that you simply can't fight enemy team, because of better teamfight comp, you should try to go for splitpush. Though, I am not going to go into details of splitpushing, because that is pretty much big topic itself.
During this part of game, it's important to understand how you want to utilize your Sadism and Masochism depending on who you are facing and how fed you are compared to them. Simply if you are not sure, simply use your Sadism at start of teamfight on full health. The more you get used to it, the better utilization you will be able to choose.
For teamfights, during this phase you are mostly trying to focus down important targets, since you should be strong enough to dive their backline on your own, unless your team is completely behind.
In here, I don't think that there is too much to point out. Mostly, you will end up trying to fight with your team and be that frontline for them.
In this phase, opposite carries mostly become way stronger than they were and you might not be able to deal with them on your own. For that reason, it is mostly better to stand in front of your own carries and try to help them to deal with enemy frontline using your Infected Cleaver. That doesn't apply if you have couple of teammates, that are able to dive into their backline with you, but that all depends on team compositions and possibly even items/gold lead.
What is important to mention here is, that you will start relying on your carries to do their job, since you won't be able to solo carry anymore, because your opponents will have a lot of lifesteal already or possibly some defensive items on support like Locket of the Iron Solari.
Here, I will try to point out worst matchups, that you want to avoid. I will try to point out some good ones as well, but thing is, that only bad matchups are concerning, except for that, you are able to beat pretty much anyone as Dr. Mundo.
|During laning phase, you are fine in terms of farming. If you won't be playing to aggressive you can most likely survive laning phase and at some point you might be even able to beat her in lane, but the main problem here is her splitpushing potential.
If you want to ever face her later on, you will need a lot of armor, otherwise she will tear you apart, when she uses her Grand Challenge. Though, unless your opponent, that plays Fiora is really inferior, it will be really hard to face her in lategame, even under your tower, since it's really hard to kite her in any way or possibly kill her.
|You don't really face this guy in toplane, but you can always see it in enemy jungle. The deal with this guy is, that you have basically no protection against him. Since you don't have any hard CC and your Infected Cleaver provides only slow, you can't really do anything, once when he uses his Highlander.
Whenever when he builds up like two or three offensive items, he will cut you into pieces in every single teamfight. Worst part is, that since Master Yi is so easy to play and expecially in lower elo, people don't know how to deal with him, he is one of your biggest threats, when facing him.
|This is another example, where I didn't mention it as toplane matchup.
It's rather general threat, where if he is being played in botlane, his % damage with Bio-Arcane Barrage and Blade of the Ruined King combined with Guinsoo's Rageblade. Like that he will tear you apart in matter of seconds. The only positive thing is, that he is not really mobile champion and if he doesn't get proper protection (which can't be guaranteed in soloQ), you might stand chance to kill that guy if you get some help from your team.
It's quite important to mention the value of Adaptive Helm against him, expecially if he is running Guinsoo's Rageblade. That item reduces damage of his Bio-Arcane Barrage or any other magic damage based on-hit effect, like Vit's end by great amount.
|This might not be too obvious, but when people play Varus with on-hit items and Guinsoo's Rageblade, then he can become similar to Kog'Maw in terms of what he is able to pull off on you.
If he is running such build, again it's really valuable to go for Adaptive Helm
to reduce his magic damage. What is a bit worse compared to Kog'Maw is that he has built-in healing reduction in his kit, which will be quite annoying in teamfights.
As I said, Dr. Mundo has rather some annoying opponents, while rest is not really being a problem. Mostly you want to pick Dr. Mundo if enemy team has way too many magic damage dealers, but it's not a problem even against mixed comps. I will try to point out some opponents that might be painful for many other champions, but not really for Dr. Mundo.
|This might be quite surprising statement for many people, but Dr. Mundo really knows how to deal with this toplane overlord, which he is right now.
We all know, how Ornn is able to obliterate tanks with his % damage, but at same time, we all know what type of damage he only has - magical one.
So basically, Dr. Mundo does exactly what Ornn does with his Infected Cleaver
and that is dealing % of health as magic damage. I know, that it's only from current health while Ornn is dealing it depending on max health, but still it is very valuable tool.
Except for that, Dr. Mundo has way better lane sustain, expecially when he uses his Sadism and goes all-in, where he can basically smash Ornn. The only thing that you pretty much need is your Spirit Visage and he won't be any match for you.
|Maokai is another example of annoying opponent, due to his tankyness,
built in % damage and sustain, he is able to dominate many toplaners, but he suffers same way as Ornn does. He is only able to deal magic damage, which is nothing for Dr. Mundo and his MR bonus from Masochism.
Except for that, you should be able to beat his sustain with yours, whenever you pop your Sadism. So yeah, unless you get destroyed early on for no reason and if you will just get your Spirit Visage, then it's free lane.
| Vladimir's sustain is real terror for many champions. Since he doesn't have mana pool and he can spam his abilities, till he has health, it's rather problem for any champion with mana pool as energy resource for abilities.
Thing is, that since Dr. Mundo doesn't have any energy pool either, they are pretty much same. Difference is, that Dr. Mundo will feast on him, when he lands his Infected Cleaver several times and due to your MR bonus, you can send this vampire back where he came from.
|It's not really too impressive to not get beated by Nasus during laning phase, since what this guy wants to do is just to spam his Siphoning Strike.
Thing is that you want to basically deny him and people usually struggle with that part.
Which is why they pick some squishy champion, to have higher damage output, because many tanks simply can't deny him.
That doesn't apply for Dr. Mundo, because since you don't have any real damage scalings depending on AD or AP, you are still dealing as much damage as normally, when you basically build up full-tanky. And it's not like your damage would be non-existent.
Dr. Mundo is example of tanky champion, that can deny Nasus, while doing his role of frontline champion for his team, which might prove valuable in many situations.
| Akali is really strong opponent for many tanky champions, mainly due to her sustain and high damage output. When she keeps sustaining herself, it's hard for many tanky champions to actually kill her, but as Dr. Mundo you have more than enough damage for her to kill her, while staying alive. It's pretty straightforward matchup,
unless you get cheesed with Ignite or if you won't simply do some major mistakes that would cost you life early on.
|We all know how annoying it is, when Cho'Gath scales up and he becomes that immortal beast. For you, it's mostly not a problem, since he still deals mostly magic damage and you are able to take him down with your % damage out of your Infected Cleaver.
Tricky part is, that he can kill you with his Feast ability. So always watch out and keep in mind, that you don't want to let him drop you way too low, where you are by the way strong. But if you would let him do so, he might simply finnish you off with that.
|It's not usual toplane pick, but still it's quite annoying for many tanky champions on toplane once she scales up. Main problem is, that her damage output becomes way too crazy, expecially when she groups for teamfights, but even if she keeps splitpushing. That might become huge problem for your team.
As Dr. Mundo though, you should be able to take her down many times, before she scales up and even if she will, if you build up Spirit Visage + Adaptive Helm,
then her damage will be pretty much non-existent. In full build, she will still cause some problems, but in that point, you should be tanky enough to deal with that and survive long enough to allow your team to do their job.
I could probably keep going with this part, but mostly it's just same story. But in case that anyone would have questions about certain matchups, just drop a comment with a request, that I should add it here and I will simply do so. Maybe there are some matchups that might be interesting for you, but I simply don't know that, because for me, it might not really be problem in particular.
Is this the end?
Making guide is continuous work and I am not sure, whether or not I will not add new parts into it. Right now I think, that I said probably the most important part, that should be always included here. But no matter what, you might still expect some updates, whenever I find something new or in case that I would figure out something, that I want to share with you guys.
Anyways, I wish you good luck guys with your Mundo games and hopefully this guide will help you at least a bit to get into your dreamed divisions, because as you might know...
Additional questions? Wish to support me further?
If you have any additional questions, if I wouldn't explain something here properly, then feel free to visit me and ask me on my stream.