Rune choice
This setup pairs Resolve with Inspiration and uses Grasp of the Undying as its keystone. The highlighted runes and shards belong to this imported setup; inspect an icon to read its effect.
Build Dr. Mundo Top
Runes, items & skill order
FighterTank
Patch 16.20
Customize your build
Role
All servers · Patch 16.20 · 2026-10-13 00:59 UTC · Data sources
Build Dr. Mundo Top
Core items
Compare win rates by rank
Choose a rank to load its own build and statistics. Win rates describe different player samples; they do not measure how easy a rank is.
Dr. Mundo Runes
Dr. Mundo Top Build
51.00% WR
Resolve
Primary
Grasp of the Undying
Inspiration
Secondary
Stat Shards
Offense
Attack Speed
Flex
Health Scaling
Defense
Health Scaling
Summoner Spells
51.00%
Ghost
Teleport
Items
Starting items
50.63% WR
11,712 matches
Most popular starting combination
Core items
61.02% WR
1,942 matches
Popular core combination
Fourth item options
Spirit Visage
61.49% WR
1,049 matches
Thornmail
56.69% WR
785 matches
Randuin's Omen
56.57% WR
746 matches
Overlord's Bloodmail
65.88% WR
724 matches
Titanic Hydra
62.56% WR
617 matches
Fifth item options
Thornmail
54.46% WR
224 matches
Overlord's Bloodmail
64.86% WR
222 matches
Spirit Visage
57.79% WR
199 matches
Randuin's Omen
58.05% WR
174 matches
Titanic Hydra
65.38% WR
156 matches
Sixth item options
Dead Man's Plate
57.89% WR
19 matches
Overlord's Bloodmail
61.54% WR
13 matches
Force of Nature
71.43% WR
7 matches
Unending Despair
100.00% WR
6 matches
Jak'Sho, The Protean
60.00% WR
5 matches
Skill priority
51.00% WR
Skill order
Most popular ability leveling order · source levels 1–15Levels 1–5
| Ability | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|
| Q |
Q | · | · | Q | Q |
| W |
· | · | W | · | · |
| E |
· | E | · | · | · |
 R |
· | · | · | · | · |
Levels 6–10
| Ability | 6 | 7 | 8 | 9 | 10 |
|---|---|---|---|---|---|
| Q |
· | Q | · | Q | · |
| W |
· | · | · | · | · |
| E |
· | · | E | · | E |
| R |
R | · | · | · | · |
Levels 11–15
| Ability | 11 | 12 | 13 | 14 | 15 |
|---|---|---|---|---|---|
| Q |
· | · | · | · | · |
| W |
· | · | · | W | W |
| E |
· | E | E | · | · |
| R |
R | · | · | · | · |
1
4
5
7
9
3
14
15
2
8
10
12
13
6
11
Champion win rate against each opponent, for the selected role and rank. Small samples are less reliable.
Dr. Mundo Top build guide: runes, items and skill order
This Dr. Mundo Top build covers League of Legends patch 16.20. Compare the selected runes, starting items and core purchases before the match, then adapt your later purchases to enemy damage and defenses. The source recommendations use the Emerald filter across all servers.
For Dr. Mundo runes, this setup uses Grasp of the Undying with Inspiration as the secondary path. Check the highlighted stat shards as well: they are part of the rune page, not extra items. Hover or tap a rune to read its effect before deciding whether it suits your matchup.
The displayed Dr. Mundo skill order starts with Q and prioritizes Q → E → W. The level-by-level grid covers the first 15 levels supplied by the source. Follow that sequence as a reference while accounting for what your lane or team needs. Item win rates describe completed purchases and should be read alongside their game counts.
Which items should you build on Dr. Mundo Top?
The most popular core items in this Dr. Mundo Top build are Warmog's Armor → Heartsteel → Titanic Hydra. Check starting items and boots separately, then compare later item options against the enemy team. This is a reference for patch 16.20, not a fixed purchase order for every match.
Which runes should you choose for Dr. Mundo Top?
For the selected Emerald rank filter, the rune page uses Grasp of the Undying with Inspiration. Review each rune tooltip and the selected stat shards before entering champion select.
How do you compare Dr. Mundo builds by rank?
Use the rank selector to view a separate build and win rate for Iron, Bronze, Silver, Gold, Platinum, Emerald, Diamond, Master, Grandmaster or Challenger. Keep the same role when comparing. A small sample is less reliable, and a higher win rate alone does not prove a better build.
How this build works
Core purchases
The most popular core combination in the source is Warmog's Armor → Heartsteel → Titanic Hydra. Treat it as a starting point: choose defensive or penetration options for the opponents you are facing.
Read the sample
The core combination has an observed win rate of 61.02% across 1,942 games. These are games that reached this purchase combination, not all games played by the champion. A completed build can appear stronger because winning players can afford more items.
How to play Dr. Mundo: abilities and build guide
Learn Dr. Mundo abilities and prepare your first games. Find builds for each supported role.
Read the guideAbout Dr. Mundo
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 entire staff, Dr. Mundo established his practice in the empty wards that once treated him and began mimicking the highly unethical procedures he had so often experienced himself. With a full cabinet of medicines and zero medical knowledge, he now makes himself more monstrous with each injection and terrifies the hapless "patients" who wander near his office.