Sanguine Shiv [Shaman] - UPDATED 05/28/26

Sell 1st

Sell 2nd/3rd

Sell 2nd/3rd or upgrade to arctic if you want.

Core sustain item. Buy mystic regen early lane if you need more sustain.

Synergizes well with Shiv's kit. This or Emblem first.

Reliable resists. This or Healbane first

Improves Radiant, Healbane, Bloodletting, Reverb, Dispel, etc. Can sell lategame.

Damage component

Core damage item.

Need this just to function nowadays. Can replace with counterspell or warp into specific comps.

Great into telegraphed abilities/comps.

Good for getting in and out of fights. Little bit of resists.

Check 10 min damage chart.

Check 10 min damage chart.

Go-to Anti-CC item. Very good for Shiv.

Solid anti-gun item.

Incredible synergy with dash.

Great into spirit burst. 2nd to witchmail because of how valuable the CD from witchmail is.

Slow resist/good into gun heroes. This + Suppressor is a solid combo.

Abuse flyers with this one simple trick..Costs a fortune though.

Solid into haze and gun heavy comps.

Insane damage, rage buildup, helps 1v1s. Synergizes incredibly well with Shiv.

Indom is better overall. Only buy this into specific matchups such as Dynamo.

Go-to lifesteal item.

CD on everything.

Heals BL health during the active.

CD for everything + items. The value on this is crazy.

Solid upgrade. Synergizes with TP + knife.

Buy lategame into tanky mofos

Damage

1s root + 4s stamlock seems balanced...

Slow resist

Solid anti-gun item

Solid into specific lanes (e.g. Mina)

For the parry slop meta were stuck in (Yoshi fix your game)

Replace extra charge when you need it as a counter buy.

Buy into gun comps.

Buy when half or lower hp.