Nurse Harrow build
Most Nurse Harrow players start with Extra Regen, Rapid Rounds and Healing Booster, move into Healing Booster and Enchanter's Emblem in the mid game and finish with Ricochet and Healing Tempo.
Based on how often players buy each item on Nurse Harrow in each stage of the match. Updated 22 October 2026.
- Vitality items
- 39%
- Weapon items
- 33%
- Spirit items
- 28%
Backbone
Core items
Items that stay among the most popular picks across stages of the match. Build around these.
Laning: cheap stats that win trades and secure souls.
Early game
- 1
Extra Regen Vitality · 800 souls 80% 31% win - 2
Rapid Rounds Weapon · 800 souls 40% 33% win - 3
Healing Booster Vitality · 1,600 souls 36% 38% win - 4
High-Velocity Rounds Weapon · 800 souls 33% 33% win - 5
Swift Striker Weapon · 1,600 souls 29% 38% win - 6
Extra Stamina Vitality · 800 souls 29% 23% win - 7
Extended Magazine Weapon · 800 souls 24% 36% win - 8
Extra Spirit Spirit · 800 souls 24% 45% win
Once fights spread across the map and objectives fall.
Mid game
- 1 Healing Booster Vitality · 1,600 souls 40% 28% win
- 2
Enchanter's Emblem Vitality · 1,600 souls 29% 15% win - 3
Titanic Magazine Weapon · 1,600 souls 29% 54% win - 4
Enduring Speed Vitality · 1,600 souls 27% 8% win - 5
Arcane Surge Spirit · 1,600 souls 24% 27% win - 6 Swift Striker Weapon · 1,600 souls 24% 45% win
- 7 Extra Stamina Vitality · 800 souls 24% 27% win
- 8
Improved Spirit Spirit · 1,600 souls 24% 18% win
Big tier 3 and 4 items that decide team fights.
Late game
- 1
Ricochet Weapon · 6,400 souls 49% 45% win - 2
Healing Tempo Vitality · 6,400 souls 47% 29% win - 3
Greater Expansion Spirit · 3,200 souls 36% 31% win - 4
Superior Duration Spirit · 3,200 souls 29% 38% win - 5
Superior Cooldown Spirit · 3,200 souls 27% 17% win - 6
Duration Extender Spirit · 1,600 souls 18% 38% win - 7
Mystic Expansion Spirit · 800 souls 18% 25% win - 8
Compress Cooldown Spirit · 1,600 souls 18% 38% win
How to read this: the big number is how often Nurse Harrow players buy the item at that stage. Win rates sit close to 50% for cheap items everyone buys, so treat them as context, not a ranking.
Quick answers
Nurse Harrow build questions
- What is the best Nurse Harrow build?
- Most Nurse Harrow players start with Extra Regen, Rapid Rounds and Healing Booster, move into Healing Booster and Enchanter's Emblem in the mid game and finish with Ricochet and Healing Tempo. The core items most Nurse Harrow players keep buying are Healing Booster and Swift Striker.
- What should Nurse Harrow buy first?
- Extra Regen, Rapid Rounds, Healing Booster and High-Velocity Rounds. Together they cost 4,000 souls.
- What are good late game items for Nurse Harrow?
- Ricochet, Healing Tempo, Greater Expansion and Superior Duration are the most common late game buys.
- Is Nurse Harrow built around gun or spirit damage?
- Vitality items make up 39% of the most popular Nurse Harrow items, followed by weapon at 33%.