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Dr. Mundo S Tier ARAM Mayhem Build

Dr. Mundo · the Madman of Zaun

TankFighter 51.30% WR 11.87% PR Patch: 26.10

Damage Dealt -8% Healing -10%

Dr. Mundo is S tier in ARAM: Mayhem patch 26.10 with a 51.30% win rate. This guide covers their ARAM build, augment picks, and Mayhem-specific synergies.

Best Augments for Dr. Mundo

Dropkick 56.61%

Tank Engine 62.42%

Quest: Steel Your Heart 58.34%

Heavy Hitter 56.46%

Upgrade Immolate 52.89%

Augment Combos for Dr. Mundo

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5 combos

Mundo's E converts HP into huge AD — with stacked Heartsteel, you're both tanky and can one-shot squishies. Mundo's hex pool is exceptionally clean — top-tier tank hexes spawn often.

Heavy Hitter A Strong

One slap deletes squishies, but ult healing can't crit.

Vulnerability A

Tank champs with Vulnerable make Sunfire, Unending Despair, Thornmail, and Heartsteel item damage crit. Build Atma's for 50% crit and turn all your tank items into damage.

Vampirism C Trap

Ult stops healing after picking this. Avoid.

Protein Shake C Trap

Ult doesn't benefit from Protein Shake. Skip.

Dr. Mundo ARAM Mayhem Build & Augments

Mayhem-specific augment picks, synergies, and meta data for Dr. Mundo in patch 26.10.

Skill Priority

Data date: 20260521

Q>E>W Pick Rate: 39.63% Win Rate: 52.41%

Q W E Q Q R Q E Q E R E E W W Pick Rate: 13.29% Win Rate: 52.22%

E W Q Q Q R Q E Q E R E E W W Pick Rate: 1.63% Win Rate: 52.20%

Q W E Q Q R Q W Q E R E E E W Pick Rate: 1.52% Win Rate: 52.64%

Q>W>E Pick Rate: 25.53% Win Rate: 51.96%

Q W E Q Q R Q W Q W R W W E E Pick Rate: 8.89% Win Rate: 51.72%

Q W E Q Q R Q E Q W R W W W E Pick Rate: 1.10% Win Rate: 52.08%

Q W E Q Q R Q W Q W R E W W E Pick Rate: 0.93% Win Rate: 51.97%

E>Q>W Pick Rate: 12.66% Win Rate: 52.23%

Q W E E E R E Q E Q R Q Q W W Pick Rate: 4.28% Win Rate: 52.04%

E W Q E E R E Q E Q R Q Q W W Pick Rate: 0.49% Win Rate: 51.98%

Q W E Q E R E E E Q R Q Q W W Pick Rate: 0.47% Win Rate: 52.42%

Starting Items

Pick Rate: 98.21% Win Rate: 51.39%

Pick Rate: 83.02% Win Rate: 52.33%

Unending Despair

Pick Rate: 50.88% Win Rate: 51.27%

Pick Rate: 43.22% Win Rate: 49.83%

Overlord's Bloodmail

Pick Rate: 34.47% Win Rate: 52.46%

Boots

Mercury's Treads

Pick Rate: 41.50% Win Rate: 50.41%

Boots of Swiftness

Pick Rate: 3.82% Win Rate: 53.34%

Berserker's Greaves

Pick Rate: 0.20% Win Rate: 54.49%

Ionian Boots of Lucidity

Pick Rate: 0.18% Win Rate: 54.65%

Core Builds

Unending Despair

Pick Rate: 21.40% Win Rate: 52.38%

Pick Rate: 13.51% Win Rate: 50.42%

Overlord's Bloodmail

Pick Rate: 10.09% Win Rate: 53.28%

Pick Rate: 7.62% Win Rate: 49.43%

Unending Despair

Pick Rate: 6.63% Win Rate: 52.84%

Late-Game Builds

Pick Rate: 53.85% Win Rate: 52.01%

Crystalline Bracer

Pick Rate: 1.48% Win Rate: 51.59%

Pick Rate: 7.58% Win Rate: 50.90%

Pick Rate: 0.74% Win Rate: 51.25%

Crystalline Bracer

Pick Rate: 17.81% Win Rate: 50.19%

Best Augments for Dr. Mundo

Prismatic

Tier + appearance rate

Win rate: 56.61%

Your basic attacks and abilities execute enemy champions below 5% (+ 3% per 100 of your AD) (+ 0.2% per 1000 of your maximum health) of their maximum health, which causes their corpse to be sent flying away in a line. Upon collision with an enemy champion or terrain, the target's corpse explodes to deal 150 to 500 (+ 100% of your armor) (+ 100% of your magic resistance) magic damage to nearby enemies. Successful executions heal you for 100 to 300 (+ 2.5% of your maximum health).

The execution may also be triggered by the explosion.

Win rate: 55.91%

Grants 35% bonus health, 15% adaptive force, and 50% increased size.

Win rate: 55.96%

Surrounds you in flames, causing you to apply a Burn every second to enemy champions within 500 units for 5 seconds that deals magic damage equal to0.3% of your maximum health per second.This Burn stacks infinitely and refreshes with each application.

Void Immolation

Win rate: 55.36%

Quest: Icathia's Fall - Immediately: Gain a Bami's Cinder and you can purchase 2 Immolate Items. Requirement: Possess Sunfire Aegis and Hollow Radiance. Reward: These Items combine into Void Immolation.

Win rate: 52.21%

Casting your ultimate ability empowers you for 10 seconds, causing you to gain a shield for 50% of your maximum health, 20% omnivamp, and 30% bonus movement speed for the duration (20 second cooldown).

Win rate: 47.71%

Gain 25% (+ 35% per 100 bonus armor) (+ 35% per 100 bonus magic resistance) heal and shield power.

Gold

Tier + appearance rate

Win rate: 62.42%

Scoring a champion takedown generates a stack, stacking infinitely. For each stack, increase your maximum health and size by 5%. Lose 65% of stacks on death.

Quest: Steel Your Heart

Win rate: 58.34%

Quest: Obtain Heartsteel and accumulate over 300 bonus health from Colossal Consumption.

Reward: Upon completing your Quest, increase the bonus health gained from Heartsteel Colossal Consumption by 200%.

Win rate: 55.47%

Gain 1250 bonus health, but reduce your damage output by 10%.

Win rate: 52.39%

Grants 800% base health regeneration, increased to 1600% while below 25% maximum health.

Win rate: 49.45%

Grants 100 item haste, which is equivalent to 50% cooldown reduction for items.

Transmute: Prismatic

Win rate: 66.81%

Gain one random Prismatic augment, excluding the other two offerings in your current assortment.

Silver

Tier + appearance rate

Win rate: 56.46%

Basic attacks deal bonus physical damage equal to 3.5% of your maximum health.

Upgrade Immolate

Win rate: 52.89%

Upgrades Bami's Cinder, Hollow Radiance, and Sunfire Aegis, empowering Immolate to additionally grant you 10 gold per tick for each enemy champion afflicted by its effect. Additionally, gain 250 gold.

Clones do not count as valid targets for the effect.

Upgrade Thornmail

Win rate: 54.74%

Upgrades Bramble Vest and Thornmail, increasing the armor stat of both items by 25 and empowering Thorns to generate a protective shell around you that grants 25% damage reduction. The shell is broken by the next enemy champion to use a basic attack on-hit against you, which causes them to take 50 to 250 (+ 30% armor) (+ 30% magic resistance) (+ 12% maximum health) magic damage. Shell regenerates after 20 to 5 seconds of being out-of-combat.

Win rate: 50.22%

Automatically cast Ring of Frost, creating a cold pulse around you in 450 radius that roots nearby enemies for 1.25 seconds (6.5 second cooldown).

Win rate: 51.17%

Grants 20% heal and shield power.

Win rate: 51.85%

Automatically attach a bomb to yourself that detonates after 5 seconds, creating an explosion that deals true damage equal to 20% of the target's maximum health to enemies within 350 units and knocks them up for 0.75 seconds (25 second cooldown).

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Recent Stats Changes

Recent Snapshots

20260522_092759 • Patch: 26.10 • S

Rank: 14 Win: 51.30% Pick: 11.87%

Rank Δ: ↑ +1 Win Rate Δ: +0.05% Pick Rate Δ: -0.20%

20260517_090029 • Patch: 26.10 • S

Rank: 15 Win: 51.25% Pick: 12.07%

Rank Δ: ↑ +1 Win Rate Δ: +0.07% Pick Rate Δ: -0.34%

20260512_082733 • Patch: 26.9 • S

Rank: 16 Win: 51.18% Pick: 12.41%

Rank Δ: ↓ -1 Win Rate Δ: +0.12% Pick Rate Δ: -0.76%

20260504_213411 • Patch: 26.8 • S 🛠 Build changed: Boots ✨ Augment changed: Prismatic

Rank: 15 Win: 51.06% Pick: 13.17%

Prismatic +King Me -Infinite Recursion

20260424_160922 • Patch: 26.8 • S ✨ Augment changed: Prismatic

Rank: 10 Win: 51.60% Pick: 11.81%

Prismatic +Gash -King Me

20260413_215021 • Patch: 26.7 • S

Rank: 18 Win: 51.19% Pick: 11.28%

Explore more

Champions like Dr. Mundo (Tank)

Full tier list →

Other Tank picks in ARAM Mayhem ranked near Dr. Mundo on the current patch tier list.

Augments commonly built on Dr. Mundo

All augments →

Jump to the augment guides Dr. Mundo players pick most often this patch.

Quest: Steel Your Heart

Related ARAM Mayhem combos

High-tier combos featured on champions similar to Dr. Mundo.

Rell + Courage of the Colossus

Singed + Infernal Conduit

Maokai + Circle of Death

Sion + Tank Engine

Sion + Ultimate Revolution