Dr. Mundo Build Guide by pinboy13
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Starting Items
Late Game
End Game Build Example
Ability Sequence
Not Updated For Current Season
The masteries shown here are not yet updated for the current season, the guide author needs to set up the new masteries. As such, they will be different than the masteries you see in-game.
Masteries
Introduction
This is my short guide to 
Dr. Mundo in the top lane. This build focuses mainly on tankiness, allowing you to go right in the middle of a teamfight and let your team do all the work behind you. Health, armor, and magic resist are key components to being a great tank. Enjoy.
Runes
The Runes I chose for this build focus on armor, magic resist, health, and increased health. Any combination of these runes will help you in being a super tank.
Masteries
The masteries I chose dive deep into the defensive tree, helping to increase health and defenses, with a point for exhaust, and increased speed. Points more in utility can also be useful, but for this build, tankiness is the focus, so stay in the defensive tree.
Items
The items for a tanky Dr. Mundo are fairly simple. Build health, armor and magic resist. There are a few necessities for Dr. Mundo though: 
Warmog's Armor is the first of these items. It grants TONS of health, at its passive combined with Dr. Mundo's passive, Adrenaline Rush, also gives him spectacular health regeneration. Another key item for Dr. Mundo is 
Spirit Visage. Its passive makes Adrenaline Rush and Sadism 20% more powerful, allowing you to heal yourself a lot quicker, plus giving magic resist, which is fairly scarce with the new items. Other great items include 
Runic Bulwark, 
Thornmail, and 
Sunfire Cape. For variations on the build, look at the items above.
Skill Sequence
Fairly simple skill sequence. Max either Infected Cleaver or Burning Agony first, the other second, and Masochism last. As with all ultimates, max Sadism at levels 6, 11, and 16.
Gameplay
As a tanky top laner, you can take some pain, as long as you last hit. Be extra careful of ignite, as it will significantly reduce the healing of Sadism. If you are being frozen or poked down, you can use your Infected Cleaver to last hit. It doesn't cost much, and will refund half of the cost of the ability. When in teamfights, you will most likely get ignited. Be wary of this, and try not to use your ultimate until the ignite has gone away. Armor and magic resist will help alleviate some of the damage to help you get through the ignite and tank the enemy team at the same time. Use your cleaver often, especially late game.
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