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Nurse Harrow

Nurse Harrow

Death will not claim you! - (Fully Annotated)

Author kriskitti · Updated Oct 22, 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

    13,600 Souls
    1. Extra RegenExtra Regen
    2. Extra SpiritExtra Spirit
    3. Extra ChargeExtra Charge
    4. Guardian WardGuardian Ward
    5. Kinetic DashKinetic Dash
    6. Healing BoosterHealing Booster
    7. Titanic MagazineTitanic Magazine
    8. Swift StrikerSwift Striker
    9. Improved SpiritImproved Spirit
    10. Trophy CollectorTrophy Collector
  2. 2

    Mid game

    16,000 Souls
    1. FortitudeFortitude
    2. Superior DurationSuperior Duration
    3. Superior CooldownSuperior Cooldown
    4. Rapid RechargeRapid Recharge
    5. Greater ExpansionGreater Expansion
  3. 3

    Late game

    32,000 Souls
    1. Healing TempoHealing Tempo
    2. RicochetRicochet
    3. Divine BarrierDivine Barrier
    4. Boundless SpiritBoundless Spirit
    5. Spiritual OverflowSpiritual Overflowi would sell TC or SS for this after you own everything else
    All item notes
    • Spiritual Overflow — i would sell TC or SS for this after you own everything else
  4. 4

    Early Game optionals

    20,800 Souls
    1. Restorative ShotRestorative Shothealing alt for extra regen
    2. FleetfootFleetfootanother option for gun build
    3. Spirit ShredderSpirit Shredderspirit shredding
    4. Opening RoundsOpening Roundsan optional early gun item
    5. Rusted BarrelRusted Barrelanti gun
    6. Mystic RegenerationMystic Regenerationan alternative healing option
    7. Bullet Resist ShredderBullet Resist Shredderbullet shred
    8. Arcane SurgeArcane Surgealternative option for kinetic dash
    9. Mystic SlowMystic Slowa nice slow option
    10. RebuttalRebuttalanti-melee
    11. Enchanter's EmblemEnchanter's Emblemnice mix of spirit res and damage
    12. Enduring SpeedEnduring Speedanti-slow
    13. Slowing HexSlowing Hexanti-movement
    14. Restorative LocketRestorative Locketa nice alternative if you have hard lanes
    15. Reactive BarrierReactive Barrieranti-stun
    All item notes
    • Restorative Shot — healing alt for extra regen
    • Fleetfoot — another option for gun build
    • Spirit Shredder — spirit shredding
    • Opening Rounds — an optional early gun item
    • Rusted Barrel — anti gun
    • Mystic Regeneration — an alternative healing option
    • Bullet Resist Shredder — bullet shred
    • Arcane Surge — alternative option for kinetic dash
    • Mystic Slow — a nice slow option
    • Rebuttal — anti-melee
    • Enchanter's Emblem — nice mix of spirit res and damage
    • Enduring Speed — anti-slow
    • Slowing Hex — anti-movement
    • Restorative Locket — a nice alternative if you have hard lanes
    • Reactive Barrier — anti-stun
  5. 5

    Mid Game optionals

    48,000 Souls
    1. Heroic AuraHeroic Auranice bullet res, way better if you get it before first rift
    2. Toxic BulletsToxic Bulletsnice anti-heal
    3. Alchemical FireAlchemical Firea nice bullet shred option
    4. Spirit RendSpirit Rendupgrade for spirit shredder
    5. Dispel MagicDispel Magicnice debuff removal
    6. Spirit ResilienceSpirit Resiliencespirit res
    7. Metal SkinMetal Skinanti-haze/heavy gun
    8. Warp StoneWarp Stoneoptional movement tool
    9. Healing NovaHealing Novahealing in teamfights
    10. Rescue BeamRescue Beamanti-catch
    11. KnockdownKnockdownhit those sky box abusers
    12. Disarming HexDisarming Hexjam those guns
    13. Radiant RegenerationRadiant Regenerationoptional healing
    14. Silence WaveSilence Wavea nicesilence on someone will be pretty goated
    15. DecayDecayanti-tank
    All item notes
    • Heroic Aura — nice bullet res, way better if you get it before first rift
    • Toxic Bullets — nice anti-heal
    • Alchemical Fire — a nice bullet shred option
    • Spirit Rend — upgrade for spirit shredder
    • Dispel Magic — nice debuff removal
    • Spirit Resilience — spirit res
    • Metal Skin — anti-haze/heavy gun
    • Warp Stone — optional movement tool
    • Healing Nova — healing in teamfights
    • Rescue Beam — anti-catch
    • Knockdown — hit those sky box abusers
    • Disarming Hex — jam those guns
    • Radiant Regeneration — optional healing
    • Silence Wave — a nicesilence on someone will be pretty goated
    • Decay — anti-tank
  6. 6

    Late Game optionals

    64,000 Souls
    1. Cursed RelicCursed Relicliterally a fuck you button
    2. Spirit BurnSpirit Burnanti-heal
    3. Escalating ExposureEscalating Exposurespirit shred
    4. JuggernautJuggernautslow resist
    5. UnstoppableUnstoppableinsane item istg
    6. Siphon BulletsSiphon Bulletsa nice anti-max hp option
    7. Cheat DeathCheat Deathjoechuck
    8. InfuserInfuserhealing
    9. IndomitableIndomitableanti-cc
    10. Plated ArmorPlated Armoranti-bullet
    All item notes
    • Cursed Relic — literally a fuck you button
    • Spirit Burn — anti-heal
    • Escalating Exposure — spirit shred
    • Juggernaut — slow resist
    • Unstoppable — insane item istg
    • Siphon Bullets — a nice anti-max hp option
    • Cheat Death — joechuck
    • Infuser — healing
    • Indomitable — anti-cc
    • Plated Armor — anti-bullet