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By GamGem ResearchLast updated 18 Oct 2026

Dr. Mundo Counters, Build and Runes — Top Lane · Patch 26.20

the Madman of Zaun

Patch 26.20 · Stats from the 26.18 Master+ sample (2,879 games).

Dr. Mundo, the Madman of Zaun, shrugs off the first crowd control that hits him and heals a share of his missing health at once with Maximum Dosage. Grasp of the Undying was the keystone on most counted Master+ Mundos, whose two leading item paths — the most common and the most successful — both start on Warmog's Armor.

TankFighter

Patch 26.18 · Top · Ranked Solo/Duo · Master+ · EUW · KR · NA · 2,879 games · Preview sample

Role snapshot (Top)

CTier
Win Rate
47.6%
Pick Rate
4.4%
Ban Rate
1.0%

2,879

Games

High

Confidence

Most common path

258 games

51.6%Win Rate

Start
TeleportFlash

Highest win rate path

185 games

64.3%Win Rate

Start
TeleportFlash

Other first item

126 games

52.4%Win Rate

Start
TeleportGhost

Runes

Patch 26.18

This exact page: taken in 20.7% of games·45.4% win rate over 595 games.

Primary

Resolve

Grasp of the Undying

Every 4s your next attack on a champion deals bonus magic damage, heals you, and permanently increases your health.

Demolish

Your third attack against turrets deals bonus damage.

Second Wind

After taking damage from an enemy champion heal back some missing health over time.

Overgrowth

Gain permanent max health when minions or monsters die near you.

Secondary

Inspiration

Approach Velocity

Bonus MS towards nearby enemy champions that are movement impaired, increased for enemy champions that you impair.

Magical Footwear

You get free boots at 12 min but you cannot buy boots before then. Each takedown you get makes your boots come 45s sooner.

Shards

  • Attack Speed
  • Health Scaling
  • Health Scaling

Other keystones taken

  • Fleet Footwork11.3% taken · 46.3% win326 games
  • Unsealed Spellbook0.5% taken · 71.4% win14 games
  • Arcane Comet0.4% taken · 66.7% win12 games

Tree pairs

  • Resolve + Inspiration84.0% taken · 47.6% win2,418 games
  • Precision + Inspiration10.3% taken · 47.5% win297 games
  • Resolve + Precision2.9% taken · 52.4% win84 games

Skill Order

Which ability to max first, and the level each point goes in — Dr. Mundo's most common path.

Q

Infected Bonesaw

Dr.

Cooldown 4s
W

Heart Zapper

Dr.

Cooldown 17/16.5/16/15.5/15s
E

Blunt Force Trauma

Passive - Dr.

Cooldown 9/8.25/7.5/6.75/6s
R

Maximum Dosage

Dr.

Cooldown 120s

Max Order

QEW

Max Q first, then E, then W. Take R whenever available (6 / 11 / 16).

Level-up Order

  • Q
  • W
  • E
  • R
Ability123456789101112131415161718
QInfected BonesawQQQQQ
WHeart ZapperWWWWW
EBlunt Force TraumaEEEEE
RMaximum DosageRRR

Matchup map (Top)

How Dr. Mundo performs against enemy top laners

Levels 1 – 18 · Master+40%60%Dr. Mundo's win rate
≥ 60%Very favorable
55 – 60%Favorable
50 – 55%Even
45 – 50%Unfavorable
40 – 45%Hard
< 40%Very hard

Conditional build matrix

Recommended items by enemy team composition

Master+ · Patch 26.18
Mythic / CoreFirst major item
Core 2Second item
Core 3Third item
BootsBoot slot
SituationalPick as needed

Scaling — minute 10–30

Dr. MundoTop average

Gold

102030

Damage to champions

102030

CS

102030

Counter plan — how to beat Dr. Mundo

  • Build percentage damage — flat penetration falls off against the stats it stacks

  • Avoid extended fights — its sustain grows with every trade it survives

  • Punish the cooldown — Dr. Mundo is exposed while its rotation is down

  • Ward the flank — vision is what turns its best opening into a worse one

  • Respect the spike — Riot rates the kit 5/10, so a practised player gets more out of it than the average

Ability details

  • P

    Goes Where He Pleases

    Dr. Mundo resists the first Immobilizing effect that hits him, instead losing Health and dropping a chemical cannister nearby. Dr. Mundo can pick it up by walking over it, restoring Health and reducing this Ability's Cooldown.Dr. Mundo also has significantly increased Health regeneration.

    Passive — never cast

  • Q

    Infected Bonesaw

    Dr. Mundo throws an infected bonesaw, dealing damage to the first enemy hit based on their current health and slowing them.

    Cooldown 4sRange 975

  • W

    Heart Zapper

    Dr. Mundo electrocutes himself, dealing persistent damage to nearby enemies and storing a portion of damage he takes. At the end of the duration or on Recast, Dr. Mundo deals a burst of damage to nearby enemies. If the burst hit an enemy, he heals a percentage of the stored damage.

    Cooldown 17/16.5/16/15.5/15sRange 325

  • E

    Blunt Force Trauma

    Passive - Dr. Mundo gains bonus Attack Damage, increasing based on his max Health.Active - Dr. Mundo slams his “medical” bag into an enemy, dealing additional damage based on his missing Health. If the enemy dies they are swatted away, dealing damage to enemies they pass through.

    Cooldown 9/8.25/7.5/6.75/6sRange 0

  • R

    Maximum Dosage

    Dr. Mundo pumps himself with chemicals, instantly healing a percent of his missing Health. He then gains Move Speed and regenerates a portion of his maximum Health over a long duration.

    Cooldown 120sRange 20

Dr. Mundo balance history

Riot's notes from patch 25.S1.1 to 26.20 change Dr. Mundo in 5 patches. The latest is patch 26.8, published 2026-04-14.

  1. Patch 26.82026-04-14

    QInfected Bonesaw

    • Monster Damage Cap300 / 375 / 450 / 525 / 600to250 / 325 / 400 / 475 / 550

    EBlunt Force Trauma

    • Monster Damage Cap:200%to140%
    Why, in Riot's words

    Dr. Mundo has been able to more consistently reach his high points in the jungle where he is less concerned about his slow early game. We are looking to curb some of his clear speed to make sure he can’t go where he pleases too quickly and requires some more time to scale up.

  2. Patch 25.242025-12-02

    QInfected Bonesaw

    • Monster Damage Cap350 / 425 / 500 / 575 / 650to300 / 375 / 450 / 525 / 600
    Why, in Riot's words

    We overestimated the impact of last patch's Dr. Mundo bugfix, which means our compensation buff overshot as well. That said, we're still happy with where Top Mundo ended up, but Jungle Mundo is now a little over the line, so we're here to deliver a jungle-specific nerf to bring his two primary roles closer to parity.

  3. Patch 25.232025-11-18

    EBlunt Force Trauma

    • Bonus Attack Damage from Maximum Health2 / 2.2 / 2.4 / 2.6 / 2.8%to2 / 2.3 / 2.6 / 2.9 / 3.2%
    • Fixed a bug where Dr. Mundo was getting maximum damage at 30% missing HP instead of 70% missing HP.
    Why, in Riot's words

    Dr. Mundo has once again risen up the ranks in popularity due to some very skilled players playing him very publicly. This time, in the jungle! We think Dr. Mundo is appropriately balanced in both roles at the present, but will continue to monitor how he's performing in the coming weeks. All that said, we're shipping a very impactful bug fix in this patch, which will increase his win rate, so we're also preemptively nerfing him a bit. We're happy with his recent reduction in burst damage, which this bug fix furthers, but want to maintain his overall sustained threat, so we're re-buffing his functional attack damage.

  4. Patch 25.212025-10-21

    Base Stats

    • Armor Growth3.7to4.5

    EBlunt Force Trauma

    • Minimum Active Damage5 / 15 / 25 / 35 / 45 (+ 7% Bonus HP)to5 / 15 / 25 / 35 / 45 (+ 5% Bonus HP)
    Why, in Riot's words

    Dr. Mundo is a scaling juggernaut who has to wade through a fairly weak early game in order to scale into the ability to go wherever he pleases. And we're happy he's able to go where he pleases, but he's bursting whomever he pleases a bit too easily. We're looking for some power neutral adjustments that take away some late-game burst and give back late-game durability in its stead.

  5. Patch 25.052025-03-04

    Base Stats

    • Health613to640
    Why, in Riot's words

    Mundo has been on the weaker side for a few patches now, especially with the recent nerfs to most of his favorite items. Looking to buff up his base HP to compensate for the missing health from items. As a lot of Mundo's kit scales off of his max HP, we expect this base HP buff to carry more value than most champions would get.

Dr. Mundo skins (12)

Riot's data lists 12 looks for Dr. Mundo with their own art, the base skin included and 18 chroma variants.

ARAM performance

EstimateB
Win Rate
49.4%
▼ 0.4%
Pick Rate
7.1%
▼ 2.0%
Ban Rate
8.7%
▼ 1.9%
Damage dealt
95.7%
Damage taken
104.4%
Healing
109.9%
Shielding
107.7%
Ability Haste
+12

Best ARAM build

Patch timeline

This champion’s win rate on each patch the preview sample spans, over its own games there. What actually changed each patch is in Riot’s own notes.

  1. 26.1945.0% over 755 games · small sample-1.0
  2. 26.1848.4% over 1,571 games-0.3
  3. 26.1749.4% over 536 games · small sample—

Dr. Mundo's base stats against all 173 champions

  • Dr. Mundo's magic resist per level of 2.3 is the 2nd-highest of 173 champions on patch 26.20.
  • Dr. Mundo's base magic resist of 29 is the 15th-lowest of 173 champions on patch 26.20 (shared with 1 other).
StatDr. MundoRankMedian
Base health640=48th620
Health per level103=102nd104
Base armor32=65th30
Armor per level4.5=92nd4.6
Base magic resist29=158th32
Magic resist per level2.32nd1.55
Base attack damage61=63rd59
Base attack speed0.67=33rd0.656
Attack speed per level3.3%=31st2.5%
Move speed345=9th335
Attack range125=129th175

Dr. Mundo at level 1 and level 18

  • Dr. Mundo reaches 2391 health at level 18 — 640 at level 1 plus 17 × 103, the 85th-lowest of 173 champions on patch 26.20, shared with 1.
  • Dr. Mundo reaches 108.5 armor at level 18 — 32 at level 1 plus 17 × 4.5, the 77th-highest of 173 champions on patch 26.20.
  • Dr. Mundo reaches 68.1 magic resist at level 18 — 29 at level 1 plus 17 × 2.3, the 4th-highest of 173 champions on patch 26.20.
StatLevel 1Per levelLevel 18Rank at 18
Health640+1032391=88th of 173
Armor32+4.5108.577th of 173
Magic resist29+2.368.14th of 173

Riot Data Dragon 16.20.1. Growth curve: League of Legends Wiki — Champion statistic.

Riot's tips for Dr. Mundo

Playing Dr. Mundo

  • A well-timed Sadism can bait enemy champions into attacking you even when they lack the damage to finish you.
  • Spirit Visage will increase the healing done by your ultimate and lower cooldowns on all of your abilities.
  • Cleavers are a powerful tool for killing neutral monsters. Instead of returning to base, farm neutral monsters until your ultimate can heal you.

Playing against Dr. Mundo

  • Try to coordinate high-damage abilities with your allies right after Dr. Mundo uses his ultimate, but if you're unable to kill him quickly with burst he will heal through the damage.
  • Try casting Ignite when Dr. Mundo uses Sadism to negate a large portion of its healing.

Quick answers about Dr. Mundo

What class is Dr. Mundo?
Riot classes Dr. Mundo as Tank and Fighter. This site files the champion under Top.
How hard is Dr. Mundo to play?
Riot rates Dr. Mundo's difficulty 5 out of 10.
What resource does Dr. Mundo use?
Dr. Mundo's abilities cost no resource.
What is Dr. Mundo's attack range?
125 units — the lowest of 173 champions on patch 26.20 (shared with 44 others).
What are Dr. Mundo's abilities?
Passive — Goes Where He Pleases, Q — Infected Bonesaw, W — Heart Zapper, E — Blunt Force Trauma and R — Maximum Dosage.
How many skins does Dr. Mundo have?
Riot's data lists 12 skins with their own art, the base look included, plus 18 chroma variants.
How much health does Dr. Mundo have at level 18?
2391 — 640 at level 1 plus 17 × 103 per level, Riot's own values, before items and runes.
What is Dr. Mundo's ultimate cooldown?
Maximum Dosage (R): 120 seconds by rank, before ability haste, in Riot's Data Dragon 16.20.1.
When did Riot last change Dr. Mundo?
Patch 26.8, published 14 April 2026 — the latest of 5 patches that change Dr. Mundo in Riot's notes from 25.S1.1 to 26.20.

Dr. Mundo at a glance

Dr. Mundo, the Madman of Zaun, is a Tank and Fighter champion in League of Legends. Riot rates the kit 5/10 for difficulty, 5/10 for attack, 7/10 for defense and 6/10 for magic. Dr. Mundo spends no resource on abilities and has 12 skins with their own art. Dr. Mundo's magic resist per level of 2.3 is the 2nd-highest of 173 champions on patch 26.20. Dr. Mundo's base magic resist of 29 is the 15th-lowest of 173 champions on patch 26.20 (shared with 1 other).

Attack5/10
Defense7/10
Magic6/10
Difficulty5/10

Dr. Mundo's story

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.
— Riot Games, Data Dragon 16.20.1. League of Legends Universe

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Methodology

Data window
Preview sample — a one-time snapshot of 65,406 ranked games (Master+, EUW/KR/NA, patch 26.18), counted by GamGem while our Riot production key is under review. Figures will update daily once it is approved. Counted 26–27 Sept 2026; patches 26.18 (35,477) · 26.19 (18,580) · 26.17 (11,048) · 26.16 (293) · 26.15 (8); by server EUW 22,382 · KR 21,922 · NA 21,065 · EUNE 20 · TR 17. 642 games without a result — remakes ended by vote in their first minutes, and games recorded with no winner — were not counted.
Rank aggregation
Master, Grandmaster and Challenger, pooled — the three ladders the count read its players from. Splitting further leaves samples too small to separate a real effect from noise.
Role assignment
A champion is filed under every lane that holds at least a tenth of its counted games — the position the match itself reports, not the champion’s class. Its headline win rate is across all of them; each lane’s own win rate and games are counted too, and a lane’s tier list ranks by them.
Counters
The two champions in the same position on opposite teams, over that pairing’s own counted games — ranked on the edge pulled toward zero by its sample size, printed raw.
Minimum sample
None — no figure is hidden for being thin. Every rate prints its games, and the confidence band is its 95% margin: Very High within ±1.5 points, High ±2.5, Moderate ±3.1 (1,000 games), Low wider.
Why a build is not a cause
An item is counted when the match ENDS with it, so late items show long games and an item bought when already ahead shows games that were being won. Correlation is what a rate can show; it is not evidence that buying the item caused the win.
Where the numbers come from
Names, classes, abilities, items and runes are Riot Data Dragon. Win, pick and ban rates, builds, keystones, spells and matchups are counted by GamGem from Riot's ranked match records. An estimate, not a count: this panel is not in the preview sample, and is labelled so.

Dr. Mundo on video