Piggy`s Support Harrow (twitch.tv/piggyxdd)
Piggy makes the best support builds and has wonderful videos explaining them. I will link to the video he has for this Nurse Harrow build as it's amazing.

Nurse Harrow
Build updated Oct 27, 2026
918450Item and ability data:
Ability order
| Ability | Unlock | 1 AP | 2 AP | 5 AP |
|---|---|---|---|---|
| Step 1 | Step 6 | Step 7 | Step 16 | |
| Step 3 | Step 11 | Step 14 | Step 15 | |
| Step 2 | Step 5 | Step 8 | Step 10 | |
| Step 4 | Step 9 | Step 12 | Step 13 |
Early Game
She starts w 0 regen and you want to stack leeches
Sell priority: 0more heals
Sell priority: 0more heals
Sell priority: 0more heals
Sell priority: 0more heals
Sell priority: 0You need to arcane then use 3, then arcane again for it to work on 3 heals.
Sell priority: 0
Lane Misc (optional)
vs m1 lanes
Sell priority: 0if you blow up
Sell priority: 0vs melee + viscous
Sell priority: 0vs alot of burst in lane
Sell priority: 0
Core
reloads your heals
Imbue: Leech Therapy
Sell priority: 0This allows us to abuse kdash ammo on 3 + give us giga movement to never die and roam around the map
Sell priority: 0for scaling on 3
Sell priority: 0If you dont have alot of heroes that benefit from this buy blood tribute instead
Sell priority: 0Using this to procc tempo on yourself when shooting teammates
Sell priority: 0
Util (optional)
you can shoot teammates with max 3 and get this healing increased
Sell priority: 0if they have pick heroes like bebop, holliday ect
Sell priority: 0if you have many gun heroes, you can guy instead of blood
Sell priority: 0vs mobility heroes
Sell priority: 0can use while healing + gives charges back (Skip if they have 0 tanky heroes / healing type heroes)
Sell priority: 0vs m1 heroes
Sell priority: 0vs flyers
Sell priority: 0vs yam, pocket ect
Sell priority: 0
Greens (optional)
good since we buying healing booster + spirit res good
Sell priority: 0vs alot of CC
Sell priority: 0vs spirit burst
Sell priority: 0if you insta die
Sell priority: 0vs alot of debuffs
Sell priority: 0Sell priority: 0
For ult (optional)
or indom if they dont have 100x CC
Sell priority: 0Or unstop if they have alot of cc
Sell priority: 0
Late random (optional)
more heal scaling
Sell priority: 0aoe heals latgame really strong
Sell priority: 0If you dont have close to 50 regen dont buy this
Sell priority: 0if you got giga leeches
Sell priority: 0proccs when you shoot teammates
Sell priority: 0can extend this with max 3
Sell priority: 0vs pocket
Sell priority: 0keep someone alive for 10 secs
Imbue: Wretched Vapors
Sell priority: 0
Items 8 (optional)
Imbue: Lurking Terrors
Sell priority: 0Imbue: Lurking Terrors
Sell priority: 0crazy on ult
Sell priority: 0Imbue: Lurking Terrors
Sell priority: 0
Prio duration
Random BS GO (optional)
Creator notes
If you`re snowballing and not dying, max your 1 after max 3.
Tripple horse is really really good
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