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Nurse Harrow

Nurse Harrow

HARROWING MY NURSE | GUN + HEAL | L > R |Popular#3 build among top playersAscendant+ · 320 games in the last 14 days

Author Kael · Updated Oct 31, 2026

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Skill order

Order set by the author · gold is the ultimate

Leech Therapy
◆
1
2
3
Wretched Vapors
◆
1
2
3
Healing Needles
◆
1
2
3
Lurking Terrors
◆
1
2
3

Item order

Stages top to bottom, items left to right

  1. 1

    Early Game | L > R |

    12,800 Souls

    Can get your gun spike using optional damage items alternatively

    1. Extra RegenExtra RegenNo longer upgrades to Healing Booster. Only if Needed
    2. Titanic MagazineTitanic MagazineMore needles for the patients.
    3. Kinetic DashKinetic DashGives great mobility and fire rate all in an 1600 souls item
    4. Extra SpiritExtra SpiritGetting stronger..
    5. Swift StrikerSwift StrikerPRRRRRR PRRRRR
    6. Healing BoosterHealing BoosterHelps with your healing overall > Healing Tempo later on
    7. Extra HealthExtra Health
    8. Arcane SurgeArcane Surge
    9. Mystic ExpansionMystic Expansion
    10. Duration ExtenderDuration Extender
    All item notes
    • Extra Regen — No longer upgrades to Healing Booster. Only if Needed
    • Titanic Magazine — More needles for the patients.
    • Kinetic Dash — Gives great mobility and fire rate all in an 1600 souls item
    • Extra Spirit — Getting stronger..
    • Swift Striker — PRRRRRR PRRRRR
    • Healing Booster — Helps with your healing overall > Healing Tempo later on
  2. 2

    Mid game

    19,200 Souls

    Core Items

    1. FortitudeFortitude
    2. Greater ExpansionGreater Expansion
    3. Superior CooldownSuperior Cooldown
    4. Superior DurationSuperior Duration
    5. RicochetRicochetBEST T4 ITEM. Helps heal teammates that are close, helps proc anti heal and deal damage
    All item notes
    • Ricochet — BEST T4 ITEM. Helps heal teammates that are close, helps proc anti heal and deal damage
  3. 3

    Late Game | NOT L > R |

    44,800 Souls

    Rico + Healing Tempo + Boundless OP tho

    1. Healing TempoHealing TempoYou can easily give this buff to an ally with your 3 even if they are 4 screens away
    2. Boundless SpiritBoundless SpiritThis, Rico and Healing T. are the big 3 Items on Nurse atm
    3. UnstoppableUnstoppableCan buy sooner if really needed
    4. Spiritual OverflowSpiritual OverflowFire Rate , Spirit Power and Spirit Life Steal, everything you could ever want
    5. IndomitableIndomitableCan buy sooner if they have a lot of CC
    6. Escalating ExposureEscalating Exposure
    7. Transcendent CooldownTranscendent Cooldown
    All item notes
    • Healing Tempo — You can easily give this buff to an ally with your 3 even if they are 4 screens away
    • Boundless Spirit — This, Rico and Healing T. are the big 3 Items on Nurse atm
    • Unstoppable — Can buy sooner if really needed
    • Spiritual Overflow — Fire Rate , Spirit Power and Spirit Life Steal, everything you could ever want
    • Indomitable — Can buy sooner if they have a lot of CC
  4. 4

    Optional Support Items

    Optional19,200 Souls
    1. Rescue BeamRescue Beam"No.. Don't go there.."
    2. SuppressorSuppressorGood item if vs Gun lane
    3. KnockdownKnockdownHelps deal with heroes that fly or have abilities that can be CC'd off of
    4. Mystic SlowMystic Slow
    5. Disarming HexDisarming Hex
    6. Divine BarrierDivine Barrier
    All item notes
    • Rescue Beam — "No.. Don't go there.."
    • Suppressor — Good item if vs Gun lane
    • Knockdown — Helps deal with heroes that fly or have abilities that can be CC'd off of
  5. 5

    Optional Damage Items

    Optional19,200 Souls
    1. Rapid RechargeRapid Recharge
    2. Surge of PowerSurge of Power
    3. Recharging RushRecharging RushCan be used instead of Swift Striker
    4. Active ReloadActive ReloadCan be used instead Swift Striker
    5. Opening RoundsOpening Rounds
    6. Blood TributeBlood TributeBad item if you dont have any leechs stacks
    7. FleetfootFleetfootFunny Item
    8. Toxic BulletsToxic BulletsBest Nurse Anti Heal Item
    All item notes
    • Recharging Rush — Can be used instead of Swift Striker
    • Active Reload — Can be used instead Swift Striker
    • Blood Tribute — Bad item if you dont have any leechs stacks
    • Fleetfoot — Funny Item
    • Toxic Bullets — Best Nurse Anti Heal Item
  6. 6

    Optional Greens

    Optional20,800 Souls
    1. Trophy CollectorTrophy Collector
    2. Enchanter's EmblemEnchanter's Emblem
    3. Guardian WardGuardian WardIf you want / need a more supportive role. Becomes Divine Barrier
    4. CounterspellCounterspell
    5. Dispel MagicDispel Magic
    6. Spirit ResilienceSpirit Resilience
    7. Metal SkinMetal SkinGood Defensive Item into Heavy Gun (cof cof Haze)
    8. Warp StoneWarp Stone
    All item notes
    • Guardian Ward — If you want / need a more supportive role. Becomes Divine Barrier
    • Metal Skin — Good Defensive Item into Heavy Gun (cof cof Haze)
  7. 7

    Late Game Situational Items

    51,200 Souls

    Niche for Specific Situations. Overall "Late Game" items are better

    1. Siphon BulletsSiphon Bullets
    2. JuggernautJuggernaut
    3. Cheat DeathCheat Death
    4. Vampiric BurstVampiric BurstHOW ITEM WORKS: Use the item in "healing needles" mode, it will increase ur healing ammo permanently until its used. You can stack it off cd. Only Item i find so niche maybe shouldnt be here. Bad Item
    5. Diviner's KevlarDiviner's Kevlar
    6. Plated ArmorPlated Armor
    7. Lightning ScrollLightning Scroll
    8. RefresherRefresher
    All item notes
    • Vampiric Burst — HOW ITEM WORKS: Use the item in "healing needles" mode, it will increase ur healing ammo permanently until its used. You can stack it off cd. Only Item i find so niche maybe shouldnt be here. Bad Item