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Build ID 919057

Nurse Harrow / Build guide

Cool Ass Nurse [Fully Annotated]

In-game community build · v70 favouritesUpdated 10/22/2026

Bro shes finally here. Just a nice easy support based build.

Part 1: Laning Phase

Extra Regen

Sleeper pick, provides a lot of sneaky healing in lane, especially since Harrow has no innate regen.

Titanic Magazine

Since your 3 scales with ammo capacity, this is a no-brainer.

Trophy Collector

Nurse Harrow is kind of a gun character, but her split laning potential isn't great so you don't really care about the downside.

Extra Spirit

A nice sprinkle of spirit.

Arcane Surge

Extra stamina, plus nice benifits for dash jumping.

Healing Booster

Extra healing from your 3, how nice.

Compress Cooldown

You want to spam and this enables you to do so.

Improved Spirit

Even more spirit to make you even more effective.

Part 1.5: Lane OptionalsOptional

Headshot Booster

Healing Rite

Golden Goose Egg

Headshot Booster

Makes you more lethal in lane.

Healing Rite

Sometimes, you just have a really hard lane.

Golden Goose Egg

Now I know what you are going to say, "why the fuck would we get this shit ass item" and yeah, typically you don't get this but it is funny, plus, sometimes you get an AFK lane.

Part 2: Mid Game

Superior Cooldown

I don't think I need to explain why cooldown reduction on all your abilities is good.

Superior Duration

Longer uptime on your 1, 2 and 4, lets you be more effective.

Greater Expansion

Extra range for your leeches, plus other more minute stuff, good item. Late game, and I mean real late game, you can sell this.

Extra Charge

Extra charges for heals.

Healing Tempo

Not only does this help your allies, it also helps you since picking up a leech procs this effect.

Ricochet

You get to spread any secondary effects from your gun, plus this works with your 3 as well.

Rapid Recharge

Having extra heals is alway nice.

Part 2.5 Mid Game OptionalsOptional

Heroic Aura

Great item, if nobody else has this and the enemy team has a lot of gun, it's not a bad idea to grab.

Surge of Power

Putting this on your 3 makes your heals a lot more effective.

Rescue Beam

if they got Bebop or a dive character.

Toxic Bullets

Gun spike, plus some strong antiheal.

Part 3: Late Game ShitOptional

Transcendent Cooldown

Divine Barrier

Counters Drifter/Pocket ult, plus its just a nice shield to have.

Siphon Bullets

Makes you more tankier.

Inhibitor

if toxic bullets isn't enough, get this as well.

Unstoppable

You are very susceptable to CC during your ult so this can help with that.

Escalating Exposure

A lot of spirit resist, plus this procs off toxic bullets.

Refresher

Currently, Harrow has one of the strongest ults so by using this, you are condeming your enemies to ETERNAL TERROR.

Boundless Spirit

This makes you even more effective than before, you can now output so much more damage and healing.

Transcendent Cooldown

If you have a lot of actives, this is a no-brainer.

Echo Shard

Your leeches are very annoying so having more of them is very funny.

Lightning Scroll

Harrow ult is not only very strong, it also has a very large effect radius; adding on the effects of mystic slow and the stun and this item is a must have.

Cursed Relic

If there's like one guy on the enemy team you hate.

Spellslinger

I mean, this makes you more lethal with your gun, but like, its alright, certainly not your first pick.

Crippling Headshot

When inhib plus toxic bullets isn't enough, make the enemy tanks fear fighting against you.

Silencer

Enemies will predominatly deal spirit damage late game so having a way to decrease their spirit damage and silence them is really nice.

Spiritual Overflow

Not only are the passive stats great, the active effects really compliment your character. Your healing mode also procs this.

Part Whatever: Strong Items and Survival ItemsOptional

Grab one of the survival items

Restorative Shot

Extra healing in lane is nice.

Rebuttal

Against enemies like Abrams, Billy, Calico, anybody like that.

Rusted Barrel

Sometimes, the enemies gun can be really annoying in lane.

Recharging Rush

Get your heals back faster, plus, makes your heals better with the increased ammo size.

Battle Vest

Increases your bullet resist, plus, the gun damage is nice.

Enchanter's Emblem

Same thing but with spirit.

Spirit Shielding

Burst gun.

Weapon Shielding

Haze Vyper, Venator, those guys can be really annoying without this.

Healbane

If you want some antiheal earlier.

Slowing Hex

Against Mina, Apollo, Wraith, or Holiday, this item is great.

Mystic Vulnerability

Since your leeches proc this, it can make your enemies really vulnerable.

Suppressor

Early game gun counter.

Bullet Resist Shredder

If you have Gun heroes on your team.

Alchemical Fire

Gun heroes on your team, plus, shreds midboss or any objective reallu.

Spirit Rend

Great item to help support your allies.

Headhunter

If you can constitantly hit some heads, the you're in luck./

Cultist Sacrifice

Exrtra souls is nice, but you already have trophy collector.

Point Blank

You are fighting close range for the leeches anyways.

Warp Stone

Lets you get away from Haze ult or really any bad situation.

Spirit Resilience

Always a great item to have, quite honestly against most team comps this really isn't "optional".

Bullet Resilience

It's either this or metal skin.

Metal Skin

I fucking hate Haze.

Disarming Hex

Nice against Drifter, Vyper or Haze since they are essentially neutered without their gun.

Radiant Regeneration

Extra healing is nice, plus, the movespeed is usefully for getting leeches.

Silence Wave

If you use this against spirit heavy comps, this is great. (I miss when this was a corvid)

Witchmail

Against team comps that have dot spirit, this is great.

Spellbreaker

Against Yamato, Paradox, Grey Talon, anybody like that, this is great.

Plated Armor

Diabolical anti gun.

Juggernaut

Against slow heavy/gun heavy team comps, this is nice to have.

Indomitable

Against team comps with unreactble cc like Mo & Krill, or Wraith, this is great.

Vortex Web

Slowing hex, but better.

Focus Lens

If somebody is being annoying as hell, you can use this.

Magic Carpet

Strong passives, plus a nice escape option.

Ethereal Shift

Sometimes, you need a breather, this item lets you survive a lot of things that would otherwise kill you.

← Nurse Harrow wiki

Build ID 919057

Nurse Harrow / Build guide

Cool Ass Nurse [Fully Annotated]

In-game community build · v70 favouritesUpdated 10/22/2026

Bro shes finally here. Just a nice easy support based build.

Part 1: Laning Phase

Extra Regen

Sleeper pick, provides a lot of sneaky healing in lane, especially since Harrow has no innate regen.

Titanic Magazine

Since your 3 scales with ammo capacity, this is a no-brainer.

Trophy Collector

Nurse Harrow is kind of a gun character, but her split laning potential isn't great so you don't really care about the downside.

Extra Spirit

A nice sprinkle of spirit.

Arcane Surge

Extra stamina, plus nice benifits for dash jumping.

Healing Booster

Extra healing from your 3, how nice.

Compress Cooldown

You want to spam and this enables you to do so.

Improved Spirit

Even more spirit to make you even more effective.

Part 1.5: Lane OptionalsOptional

Headshot Booster

Healing Rite

Golden Goose Egg

Headshot Booster

Makes you more lethal in lane.

Healing Rite

Sometimes, you just have a really hard lane.

Golden Goose Egg

Now I know what you are going to say, "why the fuck would we get this shit ass item" and yeah, typically you don't get this but it is funny, plus, sometimes you get an AFK lane.

Part 2: Mid Game

Superior Cooldown

I don't think I need to explain why cooldown reduction on all your abilities is good.

Superior Duration

Longer uptime on your 1, 2 and 4, lets you be more effective.

Greater Expansion

Extra range for your leeches, plus other more minute stuff, good item. Late game, and I mean real late game, you can sell this.

Extra Charge

Extra charges for heals.

Healing Tempo

Not only does this help your allies, it also helps you since picking up a leech procs this effect.

Ricochet

You get to spread any secondary effects from your gun, plus this works with your 3 as well.

Rapid Recharge

Having extra heals is alway nice.

Part 2.5 Mid Game OptionalsOptional

Heroic Aura

Great item, if nobody else has this and the enemy team has a lot of gun, it's not a bad idea to grab.

Surge of Power

Putting this on your 3 makes your heals a lot more effective.

Rescue Beam

if they got Bebop or a dive character.

Toxic Bullets

Gun spike, plus some strong antiheal.

Part 3: Late Game ShitOptional

Transcendent Cooldown

Divine Barrier

Counters Drifter/Pocket ult, plus its just a nice shield to have.

Siphon Bullets

Makes you more tankier.

Inhibitor

if toxic bullets isn't enough, get this as well.

Unstoppable

You are very susceptable to CC during your ult so this can help with that.

Escalating Exposure

A lot of spirit resist, plus this procs off toxic bullets.

Refresher

Currently, Harrow has one of the strongest ults so by using this, you are condeming your enemies to ETERNAL TERROR.

Boundless Spirit

This makes you even more effective than before, you can now output so much more damage and healing.

Transcendent Cooldown

If you have a lot of actives, this is a no-brainer.

Echo Shard

Your leeches are very annoying so having more of them is very funny.

Lightning Scroll

Harrow ult is not only very strong, it also has a very large effect radius; adding on the effects of mystic slow and the stun and this item is a must have.

Cursed Relic

If there's like one guy on the enemy team you hate.

Spellslinger

I mean, this makes you more lethal with your gun, but like, its alright, certainly not your first pick.

Crippling Headshot

When inhib plus toxic bullets isn't enough, make the enemy tanks fear fighting against you.

Silencer

Enemies will predominatly deal spirit damage late game so having a way to decrease their spirit damage and silence them is really nice.

Spiritual Overflow

Not only are the passive stats great, the active effects really compliment your character. Your healing mode also procs this.

Part Whatever: Strong Items and Survival ItemsOptional

Grab one of the survival items

Restorative Shot

Extra healing in lane is nice.

Rebuttal

Against enemies like Abrams, Billy, Calico, anybody like that.

Rusted Barrel

Sometimes, the enemies gun can be really annoying in lane.

Recharging Rush

Get your heals back faster, plus, makes your heals better with the increased ammo size.

Battle Vest

Increases your bullet resist, plus, the gun damage is nice.

Enchanter's Emblem

Same thing but with spirit.

Spirit Shielding

Burst gun.

Weapon Shielding

Haze Vyper, Venator, those guys can be really annoying without this.

Healbane

If you want some antiheal earlier.

Slowing Hex

Against Mina, Apollo, Wraith, or Holiday, this item is great.

Mystic Vulnerability

Since your leeches proc this, it can make your enemies really vulnerable.

Suppressor

Early game gun counter.

Bullet Resist Shredder

If you have Gun heroes on your team.

Alchemical Fire

Gun heroes on your team, plus, shreds midboss or any objective reallu.

Spirit Rend

Great item to help support your allies.

Headhunter

If you can constitantly hit some heads, the you're in luck./

Cultist Sacrifice

Exrtra souls is nice, but you already have trophy collector.

Point Blank

You are fighting close range for the leeches anyways.

Warp Stone

Lets you get away from Haze ult or really any bad situation.

Spirit Resilience

Always a great item to have, quite honestly against most team comps this really isn't "optional".

Bullet Resilience

It's either this or metal skin.

Metal Skin

I fucking hate Haze.

Disarming Hex

Nice against Drifter, Vyper or Haze since they are essentially neutered without their gun.

Radiant Regeneration

Extra healing is nice, plus, the movespeed is usefully for getting leeches.

Silence Wave

If you use this against spirit heavy comps, this is great. (I miss when this was a corvid)

Witchmail

Against team comps that have dot spirit, this is great.

Spellbreaker

Against Yamato, Paradox, Grey Talon, anybody like that, this is great.

Plated Armor

Diabolical anti gun.

Juggernaut

Against slow heavy/gun heavy team comps, this is nice to have.

Indomitable

Against team comps with unreactble cc like Mo & Krill, or Wraith, this is great.

Vortex Web

Slowing hex, but better.

Focus Lens

If somebody is being annoying as hell, you can use this.

Magic Carpet

Strong passives, plus a nice escape option.

Ethereal Shift

Sometimes, you need a breather, this item lets you survive a lot of things that would otherwise kill you.