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Build ID 926681

Nurse Harrow / Build guide

The Spirit Terror (Annotated, For Nurse Noobs)

In-game community build · v10 favouritesUpdated 10/23/2026

This is a Leech centric build with your ult being used to blow up their team. Let enemy shove wave into your tower so you can leech them. Leeches will fall off before they can get to their guardian. You should have 10 leeches when your t3 for leech unlocks. Leave leeches on the ground and wait until you can stack 18 before collecting them. DO NOT GET LEECHES UNDER THEIR TOWER!

Core L-R

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

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

If You Win LaneOptional

or they have Ratking

Toxic Bullets

Decent with max leech stacks, but usually bad. If ahead or tanky enemy then its okay.

Options

Transcendent Cooldown

Siphon Bullets

Glass Cannon

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.

No!Optional

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

Play style

You are supposed to play back. Start fight with decay, then throw leeches then run away and take cover. Repeat until they die or a teammate shows up. If you are far ahead then wait until they are half health then go in on them. You need toxic bullets to win any fights and you can only win if they are already low. Make sure you know where their teammates are OR you have ultimate. Use your ult to fear them into a wall.