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Nurse Harrow

Nurse Harrow

Support/healer HarrowPopular#2 build among top playersAscendant+ · 318 games in the last 14 days

Author Angel Dust AscendantAscendant 2 · Updated Oct 29, 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-mid

    22,400 Souls

    can buy burst fire or blood Tribute over kinetic dash and swift striker (or replace it in late for extra slot)/complete green invest from your needs before late

    1. Extra RegenExtra Regen
    2. Extended MagazineExtended Magazine
    3. Extra SpiritExtra Spirit
    4. Titanic MagazineTitanic Magazine
    5. Sprint BootsSprint Boots
    6. Trophy CollectorTrophy Collector
    7. Extra StaminaExtra Stamina
    8. Kinetic DashKinetic Dash
    9. Rapid RoundsRapid Rounds
    10. Swift StrikerSwift Striker
    11. Arcane SurgeArcane Surge
    12. Healing BoosterHealing Booster
    13. Improved SpiritImproved Spirit
    14. Compress CooldownCompress CooldownBuy duration extender first if ult is not on cooldown
    15. Duration ExtenderDuration Extendercan buy it for your ult instead
    16. Superior CooldownSuperior Cooldown
    All item notes
    • Compress Cooldown — Buy duration extender first if ult is not on cooldown
    • Duration Extender — can buy it for your ult instead
  2. 2

    Late game

    44,800 Souls
    1. Superior DurationSuperior Duration
    2. Healing TempoHealing Tempocould buy restorative shot after to proc healing tempo on yourself while healing
    3. Spiritual OverflowSpiritual Overflow
    4. Boundless SpiritBoundless Spirit
    5. Transcendent CooldownTranscendent Cooldown
    6. Greater ExpansionGreater Expansion
    7. RefresherRefresherrecommend to buy a greater expansion too if you wanna play with 2 ults
    8. Lightning ScrollLightning Scroll
    All item notes
    • Healing Tempo — could buy restorative shot after to proc healing tempo on yourself while healing
    • Refresher — recommend to buy a greater expansion too if you wanna play with 2 ults
  3. 3

    Rico route

    22,400 Souls

    (late alt)can buy only rico

    1. RicochetRicochet
    2. Toxic BulletsToxic Bullets
    3. SilencerSilencer
    4. InhibitorInhibitor
  4. 4

    Passive debuffs

    Optional19,200 Souls
    1. Mystic SlowMystic Slow
    2. Mystic VulnerabilityMystic Vulnerability
    3. SuppressorSuppressor
    4. HealbaneHealbane
    5. Siphon BulletsSiphon Bullets
    6. Escalating ExposureEscalating Exposure
  5. 5

    Active debuffs

    20,800 Souls
    1. Slowing HexSlowing Hex
    2. DecayDecay
    3. Disarming HexDisarming Hex
    4. KnockdownKnockdown
    5. Silence WaveSilence Wave
    6. Cursed RelicCursed Relic
  6. 6

    Opt spirit

    Optional21,600 Souls
    1. Mystic ExpansionMystic Expansion
    2. Quicksilver ReloadQuicksilver Reload
    3. Rapid RechargeRapid Recharge
    4. Surge of PowerSurge of Power
    5. Magic CarpetMagic Carpet
    6. Echo ShardEcho Shard
  7. 7

    Resists

    36,800 Souls

    ↓↓↓green options below ↓↓↓

    1. Spirit ShieldingSpirit Shielding
    2. Enchanter's EmblemEnchanter's Emblem
    3. Spirit ResilienceSpirit Resilience
    4. SpellbreakerSpellbreaker
    5. ScourgeScourge
    6. Weapon ShieldingWeapon Shielding
    7. Heroic AuraHeroic Aura
    8. Bullet ResilienceBullet Resilience
    9. Metal SkinMetal Skin
    10. Plated ArmorPlated Armor
  8. 8

    Anti debuff/cc

    28,800 Souls
    1. Warp StoneWarp Stone
    2. CounterspellCounterspell
    3. Dispel MagicDispel Magic
    4. UnstoppableUnstoppable
    5. IndomitableIndomitable
    6. Divine BarrierDivine Barrier
  9. 9

    alt gun invest/gun focus route

    Optional43,200 Souls
    1. High-Velocity RoundsHigh-Velocity Rounds
    2. Headshot BoosterHeadshot Booster
    3. Recharging RushRecharging Rush
    4. Mystic ShotMystic Shot
    5. Opening RoundsOpening Rounds
    6. HeadhunterHeadhunter
    7. Burst FireBurst Fireworks when healing teammate
    8. Blood TributeBlood Tribute
    9. FleetfootFleetfoot
    10. Active ReloadActive Reload
    11. Cultist SacrificeCultist Sacrifice
    12. Alchemical FireAlchemical Fire
    13. Weakening HeadshotWeakening Headshot
    14. Crippling HeadshotCrippling Headshot
    15. Tesla BulletsTesla Bullets
    16. CapacitorCapacitor
    All item notes
    • Burst Fire — works when healing teammate
  10. 10

    green opt

    Optional53,600 Souls
    1. Healing RiteHealing Rite
    2. Extra HealthExtra Health
    3. RebuttalRebuttal
    4. Guardian WardGuardian Ward
    5. Enduring SpeedEnduring Speed
    6. Restorative LocketRestorative Locket
    7. Spirit LifestealSpirit Lifesteal
    8. Rescue BeamRescue Beam
    9. Stamina MasteryStamina Mastery
    10. FortitudeFortitude
    11. Majestic LeapMajestic Leap
    12. Diviner's KevlarDiviner's Kevlar
    13. Cheat DeathCheat Death
    14. InfuserInfuser
    15. LeechLeech
    16. Vampiric BurstVampiric Burst
  11. 11

    Egg

    Optional800 Souls
    1. Golden Goose EggGolden Goose Egg
  12. 12

    works when you healing temmates so works with healing tempo

    800 Souls
    1. Restorative ShotRestorative Shot