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Nurse Harrow

Nurse Harrow

The Spirit Terror (Annotated, For Nurse Noobs)

Author Silver MysticMystic 2 · Updated Oct 23, 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

    Core L-R

    47,200 Souls

    BUY REACTIVE BARRIER 2ND IF AGAINST VENETOR!!!!

    1. Mystic ExpansionMystic ExpansionLEECH CRAWL!!!! + AOE
    2. Compress CooldownCompress CooldownNeed more leeches
    3. DecayDecayThis is your 2ndary way to deal damage
    4. Duration ExtenderDuration Extendermore leech damage
    5. Greater ExpansionGreater ExpansionLEECH CRAWL + ULT
    6. Superior DurationSuperior Duration
    7. Extended MagazineExtended Magazine
    8. Titanic MagazineTitanic MagazineGun items on this hero are mostly bait but you need big mag to heal and deal damage.
    9. Reactive BarrierReactive BarrierBUY 2ND IF THEY HAVE VENETOR OR CC YOU NEED TO BE ABLE TO GRAB LEECHES!!!
    10. IndomitableIndomitableBetter than unstop bc fear prevents CC use + cooldown. Usually only 1 CC used while you ult, so indom is better.
    11. Extra SpiritExtra Spirit
    12. Improved SpiritImproved Spirit
    13. Boundless SpiritBoundless SpiritLeeches give spirit power
    14. Mystic VulnerabilityMystic Vulnerability
    15. Escalating ExposureEscalating ExposureMake leeches hurt
    16. Spirit BurnSpirit BurnMake people explode
    All item notes
    • Mystic Expansion — LEECH CRAWL!!!! + AOE
    • Compress Cooldown — Need more leeches
    • Decay — This is your 2ndary way to deal damage
    • Duration Extender — more leech damage
    • Greater Expansion — LEECH CRAWL + ULT
    • Titanic Magazine — Gun items on this hero are mostly bait but you need big mag to heal and deal damage.
    • Reactive Barrier — BUY 2ND IF THEY HAVE VENETOR OR CC YOU NEED TO BE ABLE TO GRAB LEECHES!!!
    • Indomitable — Better than unstop bc fear prevents CC use + cooldown. Usually only 1 CC used while you ult, so indom is better.
    • Boundless Spirit — Leeches give spirit power
    • Escalating Exposure — Make leeches hurt
    • Spirit Burn — Make people explode
  2. 2

    If You Win Lane

    Optional3,200 Souls

    or they have Ratking

    1. Toxic BulletsToxic BulletsDecent with max leech stacks, but usually bad. If ahead or tanky enemy then its okay.
    All item notes
    • Toxic Bullets — Decent with max leech stacks, but usually bad. If ahead or tanky enemy then its okay.
  3. 3

    Options

    44,800 Souls
    1. UnstoppableUnstoppableThey have a lot of CC and INDOM will not work
    2. Warp StoneWarp StoneYou like escaping and living, very good on her.
    3. SilencerSilencerGood CC
    4. RefresherRefresherDouble terror very LATE item
    5. Superior CooldownSuperior CooldownFor ult
    6. Transcendent CooldownTranscendent CooldownFor refresher
    7. Siphon BulletsSiphon BulletsFor tank damage
    8. Glass CannonGlass CannonGreed.
    All item notes
    • Unstoppable — They have a lot of CC and INDOM will not work
    • Warp Stone — You like escaping and living, very good on her.
    • Silencer — Good CC
    • Refresher — Double terror very LATE item
    • Superior Cooldown — For ult
    • Transcendent Cooldown — For refresher
    • Siphon Bullets — For tank damage
    • Glass Cannon — Greed.
  4. 4

    No!

    Optional25,600 Souls

    If you have 70k then you can buy otherwise a waste of Souls.

    1. RicochetRicochet
    2. InhibitorInhibitor
    3. WitchmailWitchmail
    4. Spiritual OverflowSpiritual Overflow