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Dr Bian

Dr Bian

Mid LaneMageDifficulty: Normal

Win, Pick and Ban Rates

Mid Lane
C
Tier / Pop
51.76%
Win Rate
0.57%
Pick Rate
0.07%
Ban Rate

Change vs 2026-09-25

Tier
unchanged
Win Rate
+1.1pt

Statistics from the official in-game HoK Camp (as of 2026-10-09).

Base Stats

Max HP
3325
Max MP
640
Physical Attack
171
Magic Attack
0
Physical Armor
150|20%
Magic Defense
75|11.1%
Movement Speed
365
Attack Range
Ranged
HP Regen / s
43
MP Regen / s
16

Transcribed from the in-game hero status screen. Arcana bonuses are excluded.

Recommended Builds

Build 1HP into damage, damage into defense
  • Flash

When the enemy team has multiple divers and you want to hold your ground and keep casting

Cooldown reduction totals +40% from Boots of Tranquility through Sage's Tome, and max HP reaches +2300. Breakthrough Robe adds 20-40 magic attack plus 2% of bonus HP, and 30-60 magic penetration plus 3% of bonus HP. Augur's Word contributes 50-100 physical and magic defense plus 10% of magic attack. HP feeds damage and damage feeds defense, so bulk and output rise together.

Build 2Penetration and pace
  • Flash

When the enemy fields high magic defense or a healer you need to shut down

Boots of the Arcane opens with 60-120 magic penetration, and Void Staff closes the build by raising that penetration another 45%. Venomous Staff, third in the order, cuts an enemy's healing and lifesteal by 35% for 2.5 seconds once you land a hit. Movement speed reaches +17.5%, 7.5 points above build 1, and the full set costs 10,980G, 760G less. Less bulk, more penetration and pace.

This is what the Popular tab of the in-game Recommended Loadout screen showed on 2026-08-28. The number on each arcana is how many of the 30 slots it fills; each colour adds up to 10. The game also shows a rank and a win rate, but those shift from day to day, so they are not reproduced here.

Strategy Guide

Playstyle

A dual-ledger mage who stacks poison marks on enemies and healing marks on allies, then detonates both at once. Every decision moves two scoreboards simultaneously.

Best for: players who read offense and defense off one board — poison stacks on enemies while healing stacks on allies, and with no dash, the discipline is waiting out five stacks before setting both off.

Recommended Combos
Wait for Five Stacks

Each basic attack or skill hit adds one poison mark, capped at 5 stacks. Every stack raises the detonation's damage and healing by 50%, so two stacks and five stacks are entirely different weapons. Don't rush it — fire when your team's health starts to drop.

Crack a Pool and Walk

With no mobility skill, the answer to a dive is to make them stand in poison rather than to run. The pool lasts 4s and slows anything inside it by 30% for 2s. Skill 3 detonates the marks and restores an extra 400 (Lvl 1) Health to Dr Bian himself. That is the walk back to your team.

These combos are not official data. They are this site's own write-up, built only from the skill data transcribed from the in-game display; nothing that the skill text does not state is included.

Strengths
  • Poisons enemies and heals allies at the same time — long fights snowball his way
  • Five-stack Ultimate delivers big AoE damage and a team-wide heal in one cast
  • Three stocked vials make him excellent at zoning objective pits
Weaknesses
  • No mobility skill — an assassin who reaches him rarely lets him leave
  • Needs time to stack marks, so instant-burst shootouts are not his game
  • Anti-heal items erase half of what he brings
Early Game Strategy

Dr Bian's early game is an exercise in patience. With no burst, mid lane trades are losing propositions until your first core item finishes, so clear waves with Skill 1's poison pools and manage your HP. Vials restock every 12.5 seconds up to a cap of three — always bank one for self-defense. Whenever the enemy jungler is off the map, dropping a pool at your feet before backing off cuts gank success rates dramatically. Basic attacks apply a poison stack through the Passive too, so keep tapping targets from safe range.

Mid Game Strategy

Around 8 minutes, with one or two items done, you can drag fights into your arena: long skirmishes. In Tyrant standoffs, throw Skill 1 at their feet from behind your frontline, cycle Skill 2 for chip damage and ally healing, and once poison marks build up, detonate them with your Ultimate. Each stack adds 50% to the blast's damage and healing, so holding for 5 stacks instead of panicking at 2 changes what the fight looks like. Past the 10-second mark of any brawl, the poison-versus-healing math starts sinking the enemy team.

Late Game Strategy

The later the game, the more Dr Bian wants to dodge coin-flip bursts and drag everyone into attrition. Line up three poison pools in front of Shadow Tyrant or Overlord and the enemy either fights while melting or gives up the spawn. In teamfights, stand near the center of your team and use the Ultimate's detonation for AoE damage and a team-wide heal in the same instant. Once enemies start buying anti-heal items, your edge shrinks — compensate with timing, detonating earlier, before allies drop below half HP.

Teamfight Strategy

Skip the flashy opener — you're the fight's accountant, keeping the books on marks. Open with Skill 1 into their clump, throw Skill 2 at whoever is easiest to hit (usually the frontline) while healing allies around you, and once both teams tangle, detonate everything with the Ultimate. Blowing 5-stack poison across multiple enemies at once is the comeback button: AoE damage and a team recovery in the same moment. When an assassin jumps you, crack a pool at your own feet and walk them across the 30% slow toward your team — that alone changes your survival rate.

Frequently Paired With

2-hero team
3-hero team

The figures are the "match rate" published by the official in-game HoK Camp: how often these heroes ended up on the same team (fetched 2026-08-14). It is not a win rate, so a higher number does not mean a stronger pairing.

First Skill to Level Up

Official pickSkill 1: Deadly Panacea
1

Source: the official in-game HoK Camp (fetched 2026-08-14). What to level after this depends on the matchup.

Skills

Malicious Practice
Passive

Malicious Practice

MarkDamageHeal
Dr Bian's Basic Attacks and skills place a poison mark on enemies for 7s (up to 5 stacks), dealing 20 (20 + 5% magical attack) magical damage per second.
Healing skills place a healing mark on teammates and himself for 7s (up to 5 stacks), restoring 3 (3 + 2% magical attack) Health per second to teammates, and 3 (3 + 2% magical attack + 0.15% extra Health) Health per second to himself.
Lvl 1Lvl 15
Base Damage
2040
Health Recovery
36
Deadly Panacea
Skill 1⏳ CD: 2s | Mana: 30

Deadly Panacea

SlowDamage
Dr Bian throws a vial of lethal poison that shatters upon impact, releasing a pool of poison for 4s. Every second, it deals 65 (65 + 14% magical attack) magical damage to enemies within the area and slows them by 30% for 2s.
Dr Bian stocks 1 vial every 12.5s. Up to 3 vials can be stocked.
Lvl 1Lvl 2Lvl 3Lvl 4Lvl 5Lvl 6
Stack Interval
12.51211.51110.510
Cooldown
21.81.61.41.21
Base Damage
657891104117130
Fatal Diagnosis
Skill 2⏳ CD: 5s | Mana: 30

Fatal Diagnosis

DamageHeal
Dr Bian throws a concoction, dealing 130 (130 +30% magical attack) magical damage to enemies hit and restoring 65 (65 +15% magical attack) Health to nearby teammates.
Lvl 1Lvl 2Lvl 3Lvl 4Lvl 5Lvl 6
Cooldown
54.84.64.44.24
Base Damage
130156182208234260
Health Recovery
657891104117130
Master of Life
Ultimate⏳ CD: 15s | Mana: 90

Master of Life

DamageHeal
Dr Bian detonates all nearby marks, dealing 150 (150 + 40% magical attack) magical damage to enemies while restoring 70 (70 + 20% magical attack) Health to teammates. Each stack of mark increases damage and healing by 50%.
He also recovers 400 (400 + 30% magical attack + 5% extra Health) extra Health.
Lvl 1Lvl 2Lvl 3
Cooldown
1513.512
Base Damage
150225300
Health Recovery
70105140
Extra Recovery
400600800

Other Mid Lane Heroes

Stats: official HoK Camp, as of

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Tier, win rate, pick rate and ban rate are taken from the official in-game HoK Camp statistics (as of 2026-10-09). Skill values and descriptions are transcribed from the in-game display (Global). Patch changes are summarised from the official patch notes (Level Infinite) and written up by this site. Matchups, synergies and strategy write-ups are this site's own commentary.

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