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Dr. Mundo splash art
Patch 26.19ARAM Mayhem · updated Oct 2, 2026

Dr. Mundo ARAM Mayhem Build and Best Augments

Dr. Mundo, the Madman of Zaun, is a melee tank and fighter champion. In fights Dr. Mundo is a very durable champion who deals mixed physical and magic damage over extended fights, with healing in the kit. Here are the augments to take, the ones to skip and the items players finish with on patch 26.19.

10.5%Pick rate in Mayhem
#23Most picked of 173
-0.13Pick rate change vs last patch (pts)

Best Augments for Dr. Mundo

Strong picks

Reliable choices for this champion.

  • Heavy HitterSilver · 34.5% picked

Also good

Solid options when the cards above do not show up.

  • Vulnerability + DropkickCombo of 2 augments
  • Tank Engine + Quest: Steel Your Heart + Heavy Hitter + Goliath + DropkickCombo of 5 augments

Traps to avoid

Look tempting on this champion but underperform.

  • Protein ShakePrismatic · 2.92% picked

Dr. Mundo ARAM Mayhem Build

The items Dr. Mundo players finished with most often, from 78 ARAM Mayhem games played with Hexgate in the last 60 days. Augments change what is worth buying, and so does the enemy team.

  • Heartsteelin 96.2% of games
  • Warmog's Armorin 82.1% of games
  • Spirit Visagein 69.2% of games
  • Thornmailin 59.0% of games
  • Unending Despairin 23.1% of games
  • Randuin's Omenin 17.9% of games

This Is Patch 26.19. Hexgate Is Every Patch.

This page is a snapshot. Hexgate puts an S to D tier on every augment card the moment it appears, ranked for Dr. Mundo, and re-ranks your items against the enemy team, live in game, on whatever patch is out. Free, no ads, no Overwolf.

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FAQ

What are the best augments for Dr. Mundo in ARAM Mayhem?

On patch 26.19 the top picks for Dr. Mundo include Heavy Hitter.

What should Dr. Mundo build in ARAM Mayhem?

The items Dr. Mundo players finish with most often are Heartsteel, Warmog's Armor, Spirit Visage. Adapt the rest of the build to the enemy team.

More Tanks in ARAM Mayhem

All champions in ARAM Mayhem · How to pick ARAM Mayhem augments · ARAM Mayhem overlays compared

Pick rates (China servers) and augment combos: arammayhem.com (CC BY 4.0), reformatted. Items: Hexgate's own ARAM Mayhem games. Hexgate is not endorsed by Riot Games.