Best Grievous Wounds Items Guide in League of Legends (When, Who, and How to Buy in 2025)
November 19, 2025
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You should consider buying Grievous Wounds items when the enemy team has three or more champions with strong healing or sustain abilities.
If the enemy team has two or more champions with consistent healing from passives, abilities, or items, you should start considering Grievous Wounds.
If one of these healing champions becomes fed, buying Grievous Wounds even earlier can be very effective.
Conqueror
Sundered Sky
Conqueror and Sundered Sky are the rune and item most commonly used by bruisers. Because extended fights often involve significant healing from these setups, Grievous Wounds items become essential to reduce their sustain and limit unexpected turnarounds.
To apply Grievous Wounds reliably to multiple targets, champions with high hit frequency or consistent area damage are the most suitable.
Long-range poke champions or AP champions with steady damage output gain the highest efficiency from these items.
On the other hand, tanks who buy Thornmail often use it less effectively, because its Grievous Wounds effect only triggers when struck by enemy basic attacks.
Likewise, burst mages or assassins with long cooldowns deal damage in a single combo and then disengage, making it difficult to maintain the Grievous Wounds effect consistently. It is generally better for them to avoid purchasing these items.
It is generally recommended to finish at least your first core item before purchasing Grievous Wounds. Buying it too early can leave you lacking damage in early skirmishes, increasing the risk of losing fights. Ideally, you should build Grievous Wounds after your core damage item is completed.
In League of Legends, it is important to spend your gold as efficiently as possible whenever you recall. After your second core item, mid and late-game often involve frequent fights around major objectives, so using leftover gold at this stage to buy a Grievous Wounds component can significantly increase your contribution in teamfights.
However, if you are close to completing your next core item, it is usually better to delay the Grievous Wounds purchase depending on your team’s item situation.
Marksmen, especially crit-based champions, gain a massive power spike after completing Infinity Edge. Because of this, it is generally not recommended for them to buy Grievous Wounds items before their third core item. Maintaining their strong damage timing is the priority.
If you are far behind and unable to complete your usual core items, switching to a Grievous Wounds item can still help you contribute in teamfights. In this case, you need to prioritize team utility over your own damage potential.
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