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Dr. Mundo

Dr. Mundo Top Build

Runes, items & skill order

FighterTank

Patch 26.20

Customize your build
Role
Win rate45.21%
Pick rate2.88%
Ban rate0.44%
TierC

All servers · Patch 26.20 · 2026-10-16 17:07 UTC · Data sources

Build Dr. Mundo Top

Keystone rune

Grasp of the Undying

Resolve + Inspiration

Skill priority

Q → E → W

View the level-by-level order

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.

RankWin rateCore build sample
Emerald+50.19%5,657
All ranks51.04%22,043
Iron50.57%616
Bronze51.87%2,214
Silver51.82%3,468
Gold51.42%4,945
Platinum50.89%4,040
Emerald50.83%3,252
Diamond49.42%1,500
Master48.67%554
Grandmaster45.21%45
Challenger57.39%12

Dr. Mundo Runes

Dr. Mundo Top Build
45.21% WR
Resolve Primary
Inspiration Secondary
Stat Shards
Offense
Adaptive Force Attack Speed Ability Haste
Attack Speed
Flex
Adaptive Force Movement Speed Health Scaling
Health Scaling
Defense
Health Tenacity and Slow Resist Health Scaling
Health Scaling
Summoner Spells 45.21%
Flash Flash
Teleport Teleport

Dr. Mundo Top Items

Starting items
item 1120
item 2003
43.55% WR 248 matches
Most popular starting combination
Core items
item 3083
→
item 3084
→
item 3065
→
item 3009
55.56% WR 45 matches
Popular core combination
Fourth item options
item 3143
Randuin's Omen 52.38% WR 21 matches
item 3065
Spirit Visage 56.25% WR 16 matches
item 3748
Titanic Hydra 57.14% WR 14 matches
item 3075
Thornmail 54.55% WR 11 matches
item 2501
Overlord's Bloodmail 50.00% WR 8 matches
Fifth item options
item 3143
Randuin's Omen 40.00% WR 5 matches
item 3075
Thornmail 25.00% WR 4 matches
item 6665
Jak'Sho, The Protean 33.33% WR 3 matches
item 2502
Unending Despair 33.33% WR 3 matches
item 3742
Dead Man's Plate 0.00% WR 1 matches

Skill priority

Q
→
E
→
W
45.21% WR

Skill order

Most popular ability leveling order · source levels 1–15

Levels 1–5

Ability12345
QQ··QQ
W··W··
E·E···
R·····

Levels 6–10

Ability678910
Q·Q·Q·
W·····
E··E·E
RR····

Levels 11–15

Ability1112131415
Q·····
W···WW
E·EE··
RR····
Q Infected Bonesaw
1
4
5
7
9
W Heart Zapper
3
14
15
E Blunt Force Trauma
2
8
10
12
13
R Maximum Dosage
6
11
P Goes Where He Pleases

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

Read the full Dr. Mundo guide

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 Grandmaster 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 → Spirit Visage. Check starting items and boots separately, then compare later item options against the enemy team. This is a reference for patch 26.20, not a fixed purchase order for every match.

Which runes should you choose for Dr. Mundo Top?

For the selected Grandmaster 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

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.

Core purchases

The most popular core combination in the source is Warmog's Armor → Heartsteel → Spirit Visage. 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 55.56% across 45 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 we select and update builds →

How to play Dr. Mundo: combos, tips and builds

Learn Dr. Mundo abilities and prepare your first games. Find builds for each supported role.

Read the guide

About 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.