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Dr. Mundo Build Guide by Spudicus

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League of Legends Build Guide Author Spudicus

The Tower Dives For Days (Literally)

Spudicus Last updated on December 26, 2017
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Cheat Sheet


Dr. Mundo Build

LoL Path: Sorcery
LoL Rune: Phase Rush
Phase Rush
LoL Rune: The Ultimate Hat
The Ultimate Hat
LoL Rune: Transcendence
LoL Rune: Scorch

LoL Path: Resolve
LoL Rune: Demolish
LoL Rune: Overgrowth

+6 Attack Damage or +10 Ability Power, Adaptive and +65 Health

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Top Lane
Ranked #30 in
Top Lane
Win 50%
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Ability Sequence

Ability Key Q
Ability Key W
Ability Key E
Ability Key R

Threats to Dr. Mundo with this build

Show all
Threat Champion Notes
Malphite So easy. He has very big mana problems and he can't kill you. you can poke way better and harass him off of minions and you should kill him a good amount in lane. He does beat you in the cc department but you should deprive him of farm so much he is useless in team fights.
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Hi. My name is Spudicus Stew. Or at least my summoner name is. I am a Dr. Mundo main. Dr. Mundo is the guy who tanks a tower for a full minute while the rest of his team kills everyone and gets the tower. Just won a team fight and there are no minions to get the tower? Call Dr. Mundo. He can fight Baron , do a team fight, win the team fight, get Dragon , and come out with full health. The sustain with this guy is insane. I have always hated getting bullied in lane. So I started playing Dr. Mundo. He just heals back any poke you receive. So few people play this champion anymore. I think I have only gone against another Dr. Mundo maybe 5 or 6 times. Im hoping this guide will help you get to learn this great champion or at least get better at him. This guide is still a work in progress but I don't get a lot of time to work on it. So with out ado lets get into it.

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Pros / Cons

* Super tank
* Crazy health regen
* Long range poke
* High tenacity
* The highest AD steroid in game
* Very annoying in lane
* Good burst and sustain damage

* Squishy early game
* Uses own health for abilities
* No escape besides ult
* Damage reliant on cleavers
* Cant carry a team by himself
* Falls off late game
* Hard to engage with

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Champion Abillities

Adrenaline Rush: You passively heal based on your max health.

Spoiler: Click to view

Infected Cleaver: (Q) You throw a cleaver in a strait line and it deal current percent health damage and slows.
Spoiler: Click to view

Burning Agony (W): You're so tanky you can light yourself on fire to do damage to enemies in an area around you. Somehow lighting yourself on fire boosts your tenacity.
Spoiler: Click to view

Masochism: (E) You increase your attacks to hit like a truck for 5 seconds. You get increased AD when you have less percent HP. Your fisrt attack does extra damage based on your max HP and gain range.
Spoiler: Click to view

Sadism: (R) You take a percentage chunk of your current health to heal for a percentage of your max health over 12 seconds and you get increased movement speed.
Spoiler: Click to view

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Skill Sequence

No matter what, max your Infected Cleaver. It is amazing damage and poke. If you have already gotten fed you can max Masochism for some crazy one shot damage. Otherwise max Burning Agony for wave clear and long team fight damage. Without explanation always max Sadism at levels 6-11-16.

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After a little bit of research, I decided that going with Phase Rush is one of the best runes on Dr. Mundo. For one, besides Grasp of the Undying, there aren't any very good keystone runes in the resolve section. And even Grasp of the Undying wasn't that good because I myself didn't see it being that impactful. However, with Dr. Mundo, Phase Rush is very easy to proc, you get good movement speed to stay with your target, and since you are melee, you get slow reduction for the duration. Then you can get The Ultimate Hat for more healing, Transcendence for more CDR which is good all around since the main damage for tanks is their abilities, and Scorch for a little more poke. Then you can still get the best runes in resolve with Demolish for taking towers, and Overgrowth for the late game health.

This may not be the best runes for Dr. Mundo, but I like them very much an it is what i run most times on him.

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First of all, you will need tons of mana with Dr. Mundo. Nobody ever thinks you're a troll when you build mana on Dr. Mundo ;). On a serious thought just build your first item against your lane buddy and then build against their team. If they have a fed Veigar then build more MR or tons of health. Always build Spirit Visage even if they only have one guy who does one magic damage ability. It's passive increase your healing and Dr. Mundo does a lot of healing. I have only not built it twice. Building as Dr. Mundo is not hard. Just build tank, specifically health. Only build Thornmail if they have tons of AD.

Doran's Shield

This is what I start no matter what. With this, one Health Potion and a Warding Totem you should be able to stay in lane far more than your opponent.

Sunfire Cape

This item is amazing. As a tank you will be next to enemies for a while. When you practically have 2 Burning Agony's, it's gg. Plus the health and armor is great too. It also helps you push so you can get to towers better. I will build this every game.

Spirit Visage

This item was made for you. Health, MR, CDR, and increased healing. Need I say more? BUILD THIS EVERY GAME! Without it, your ultimate, Sadism, will not heal you for very much. If you need more MR you can build Adaptive Helm.

Dead Man's Plate

Health, Armor, and a passive. You get increased MS and a slow. Amazing. If you are getting kited or need to move around the map more, this is a good item to build.


I only build this one if they have an ADC or AA reliant champion fed. It is a great item against people like Master Yi, Tryndamere, or Vayne. It is much more viable now with the update.

Frozen Mallet

I personally don't like this item on Dr. Mundo. It is not very gold efficient and Titanic Hydra does way more damage and scales better. I don't recommend it but I'm not saying it isn't viable.

Titanic Hydra

When it is team fights left and right or you are needed to splitpush you build this. Health, AD, and your AA scale with HP in a cone attack. Very good. I prefer this over a Frozen Mallet. You also will hit a massive power spike when you complete this item and will have some huge one shot potential on a squishy target. Only don't build this if you are way behind. It is a common rule of thumb that if you are behind to stop building damage and build tank. If you are playing a tank.

Warmog's Armor

HEALTH. You just won a team fight and you tanked 5 people and a turret. You used your ult and you are low on health. just don't take damage for 8 seconds and its like your ult, Sadism, is back on. :) It can also be used as a taunt if you just stand in front their turret and gain all your health back. It is a good buy if you are sieging and need a way to get your health back quickly without your ult.

Randuin's Omen

Health, armor, AS slow, critical strike damage reduction, and a slow. Build when their ADC builds crit or they have a Yasuo, Jhin, Tryndamere or other high crit damage champion. Also give an active slow.

Guardian Angel

I no longer like this item. It is good for the extra life and you're welcome to buy it but you don't have any AD scaling, and it no longer gives MR which hurts. There are a lot of better armor items than this one.

Zz'Rot Portal

Armor and MR. SPLIT PUSH. The best split push item. Try to place the portal near the tower you are trying to get but not in it. The tower will focus it first and kill it in one hit. Don't buy this if they have no outer turrets. It is hard to get inner turrets with it as you are so close to their base and it is easier for them to kill if you back away.

Gargoyle Stoneplate

I will explain this one in a different section because I have a big rant and it is very important.

Adaptive Helm

This item is good if you are going against someone with constant Magic Damage like Teemo, Azir, or Cassiopeia. But get Spirit Visage first.

Abyssal Mask

No longer viable on Mundo because of the addition of mana.

Knight's Vow

I like to buy this if I have a hyper carry adc like Kalista, Kog'Maw, Vayne, Draven, or Twitch.


Mercury's Treads

MR and tenacity. I build it when they have mostly AP or have lots of cc like Morgana, Nautilus, or Gnar.

Ninja Tabi

Armor and AA damage reduction. I build it when they have mostly AD and AA reliant champions like Kalista, Master Yi, or Yasuo for example.

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Gargoyle Stoneplate


When to Buy
* When you have little damage and your job is to just be a meat shield
* When you have lots of cc and you need to be alive long enough to get out multiple cooldown rotations of cc
* If you are a tank and having trouble staying alive in team fights
* Examples: Nautilus, Maokai, Malphite, Sion, Gragas, Rammus
When NOT to Buy
* When you do significant damage
* You are a tank with low cool downs
* When you have no/little cc
* If you won't get focused if you activate it
* Examples: Dr. Mundo, Garen, Gnar, Darius, Nasus

The point of getting all of this damage reduction and extra health is because you are getting focused but you need to get off all of your cc/abilities. In a team fight, you get focused if you have damage, cc, or utility. If I am this high damage Dr. Mundo and I just get even more tanks but lose most of my damage, I am not going to get focused in a team fight. I would be no threat. I would have no damage, very little cc, and no utility. It would be a wasted item. The resistances are good, but the active is horrible. I'm not saying you can't buy it, but it isn't a smart choice in my opinion. Gnar shouldn't buy it because he does do good damage unless you build him tank and use him for the cc. Sion would use his abilities for the cc, not really the damage. So this item would help him get a second rotation of spells.

This is just my opinion.
I would not build a Gargoyle Stoneplate on Dr. Mundo if it were me.

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Your Role

As a top laner and tank you have jobs. You need to know about each and every champion. You must know whether a champion does magic damage and you need to build Spirit Visage first, or if they do physical damage and you need to build a Sunfire Cape first. You have to know that an enemy Corki does mixed damage, a Riven will do only physical damage, and a Maokai will do only magic damage. If an enemy team has lots of CC, then you need to buy Mercury's Treads
In team fights, your jobs includes; blocking any and all skill shots, sticking to enemy carries or protecting yours, and don't die.

You also must know when people hit power spikes. You must know that Pantheon and Renekton have very strong early games and people like Gangplank and Nasus are late game scaling champions.

You must get attention. If the other lanes aren't doing good, you need to either roam or do whatever you can to call the enemy jungler to you. Make the enemy mid laner come to you so you can soak up lots of pressure and give your team breathing room. You can do this because you are just so tanky and you can almost always get away if you have your ultimate on. By hopefully killing your enemy top laner and pushing in their tower a lot, you should get the attention of their mid laner or jungler or both. If you die, you die. Don't get mad for getting pressure up top. Since you don't have hard cc, you need to do well in the early game because you will fall off. You need to make the enemy think you are worth their time while you are strong. Later on in the game you will fall off hard in your damage, so make yourself useful while you can. If you have a good chance, have the bottom lane deep ward and make a Teleport bottom and maybe take a tower.

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Farming with Dr. Mundo is clockwork. I farm with Infected Cleaver if I'm not going to poke my lane buddy in the next 4 seconds. Use E Masochism if you miss judge your attack strength for an AA reset. Use Burning Agony if there are at least 3+ minions that would get hit. I usually don't turn on Burning Agony until levels 5 and up. I will only turn it on pre level 6 if I'm trading with my lane buddy. You must learn to farm good because you need early items to get really strong and soak up all of that damage.