Nurse Harrow build guide
by Little ShmuckVersion 7Updated Oct 21, 2026Guide #880632
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ok who actually is this guy??? I promise I'm not affiliated with this dude. shout out the shmuck meta discord: discord.gg/KVHpb94rUJ
1Early game
Game stage · 8 items
Extra Regen
Intensifying Magazine
Arcane Surge
Swift Striker
Suppressor
Healing Booster
Built from Extra Regen
Improved Spirit
Healbane
2Category 5
Author's category · 2 items
Restorative Shot
Grit
3Mid game
Game stage · 8 items
Superior Cooldown
Superior Duration
Spirit Resilience
4Countersoptional
Author's category · 8 items
Dispel Magic
Counterspell
Metal Skin
5Late game
Game stage · 7 items
Ricochet
Echo Shard
Leech
Categories appear in the author's order. Only the editor's default Early, Mid and Late sections are marked as game stages; the author's own categories keep their names. “Built from” links come from the game's item recipes.
Leech TherapyLeech Therapy | Leech Therapy: Ability unlocked, step 1 | Leech Therapy: 1 AP upgrade, step 5 | Leech Therapy: 2 AP upgrade, step 6 | Leech Therapy: 5 AP upgrade, step 10 |
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Spiritual Overflow
Boundless Spirit
Built from Improved Spirit
Healing Tempo
Built from Healing Booster
Escalating Exposure
Spirit Rend
optional if you think this will assist with the spirit damage
Juggernaut
Spellbreaker
Indomitable
Plated Armor
Cheat Death
Ethereal Shift
Transcendent Cooldown
Built from Superior Cooldown
Refresher
Silencer
Wretched VaporsWretched Vapors | Wretched Vapors: Ability unlocked, step 3 | Wretched Vapors: 1 AP upgrade, step 8 | Wretched Vapors: 2 AP upgrade, step 15 | Wretched Vapors: 5 AP upgrade, step 16 |
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Healing NeedlesHealing Needles | Healing Needles: Ability unlocked, step 2 | Healing Needles: 1 AP upgrade, step 7 | Healing Needles: 2 AP upgrade, step 13 | Healing Needles: 5 AP upgrade, step 14 |
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Lurking TerrorsLurking Terrors | Lurking Terrors: Ability unlocked, step 4 | Lurking Terrors: 1 AP upgrade, step 9 | Lurking Terrors: 2 AP upgrade, step 11 | Lurking Terrors: 5 AP upgrade, step 12 |
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Unlock1 / 2 / 5 AP upgrade costOrder only; no timings
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