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2 Votes

Queen of Pain Guide

December 9, 2023 by TwirlinfLeaf
Comments: 0    |    Views: 8142    |   

Build 1
Build 2
Build 3

Item Build Guide

DotA2 Hero: Queen of Pain

Hero Skills

Shadow Strike

1 4 9 10


2 11 13 14

Scream of Pain

3 5 7 8

Sonic Wave

6 12 18


15 16 17

Hero Talents

+250 Sonic Wave damage
-2s Blink Cooldown
-45s Sonic Wave Cooldown
+100 Scream of Pain Damage
+40 Attack Speed against Shadow Striked units
-1s Shadow Strike Damage Interval
+8 Strength
+20 Damage


Queen of Pain embodies the essence of a formidable and dynamic hero. As an agility-based hero, she thrives on swift movements, razor-sharp instincts, and a relentless onslaught of magical prowess. Her primary role often finds her dominating the mid lane, utilizing her range, agility, and spells to outmaneuver and overpower her adversaries.

The Queen of Pain's abilities epitomize her mastery over agony and chaos. "Shadow Strike" allows her to cast a debilitating poison on her foes, slowly draining their health while slowing their movements, making it a potent tool for harassment and early game dominance. "Scream of Pain" unleashes a piercing shockwave that damages all nearby enemies, enabling her to swiftly clear creep waves and punish clustered adversaries.

Her ultimate ability, "Sonic Wave", is a signature move that embodies sheer devastation. It launches a massive wave of sound across the battlefield, dealing substantial damage to all enemies caught in its path. This spell is instrumental in team fights, capable of turning the tide with its sheer destructive force.

What sets Queen of Pain apart is not just her abilities but her agility and mobility. With her high agility gain and a blink-like ability, **Blink**, she possesses unparalleled maneuverability, allowing her to dart in and out of combat with graceful precision. This agility also enables her to chase down fleeing enemies or escape precarious situations, making her an elusive and formidable adversary.

A skilled Queen of Pain player capitalizes on her strengths by dominating the mid lane, securing early kills, and transitioning into a dominant force during the mid to late game. Her ability to snowball with early kills and farm can lead to a game where she becomes a feared presence, dishing out immense magical damage and controlling the pace of team fights.

However, her strength comes at a cost. While she excels in dealing magical damage and possessing high mobility, she is relatively squishy and susceptible to disables and burst damage. Strategic positioning and timing are crucial for her survival, as mistimed blinks or getting caught off-guard can quickly turn the tide against her.

Mastering the Queen of Pain requires finesse, timing, and a deep understanding of her abilities and limits. But in the hands of a skilled player, she becomes a force to be reckoned with

Pros and Cons


1. Burst Damage Potential
Queen of Pain's primary allure lies in her ability to dish out high burst damage. Her skill set, particularly Scream of Pain and Sonic Wave, unleashes devastating AoE damage. Early in the game, this burst damage can secure kills or pressure opponents, making her a dominant force in the laning phase and mid-game skirmishes.

2. Mobility as a Strategic Tool
Blink, her Blink Dagger-like ability, is her defining feature, providing unmatched mobility. This skill grants her exceptional map control, escape options, and the ability to traverse the battlefield swiftly. The strategic use of Blink allows her to initiate fights, escape dangerous situations, or reposition strategically during engagements.

3. Adaptability in Roles
Queen of Pain's skill set allows her to fulfill various roles within a team. She can excel as a solo mid-laner, exerting dominance through harassment and securing farm. Her versatility allows her to transition into a ganking role, capitalizing on her mobility and burst damage to create opportunities across the map. Furthermore, she can also serve as a damage dealer or playmaker in team fights.

4. Lane Dominance and Harassment
In the laning phase, Queen of Pain's range, coupled with her Shadow Strike, allows her to control the lane effectively. Her harassment potential pressures opponents, limiting their ability to farm or stay in the lane comfortably. This lane dominance often leads to advantageous early-game situations for her team.


1. Vulnerability Due to Squishiness
Queen of Pain's strength in dealing damage comes with a trade-off: she remains relatively fragile and susceptible to being burst down. Despite her mobility, she requires careful positioning and swift decision-making to avoid getting caught out and eliminated quickly in team fights.

2. Mana Management Challenges
Her spellcasting prowess comes at the cost of high mana consumption, especially in the early game. This creates mana management issues, making it essential to balance aggression with conservation to avoid being left vulnerable due to a depleted mana pool.

3. Scaling and Late Game Impact
While formidable in the early and mid-game phases, Queen of Pain's effectiveness tends to plateau as the game progresses to the late stages. Her impact may diminish compared to dedicated hard carries who excel in dealing sustained physical damage. Consequently, she might transition into a more supportive role, relying on her mobility and utility rather than raw damage output.

4. Item Reliance for Consistency
Queen of Pain's effectiveness is contingent on acquiring specific core items. While she can function adequately with levels and a few basic items, acquiring essential items like Orchid Malevolence, Aghanim's Scepter, or defensive items significantly enhances her impact. Difficulty in acquiring these items due to a slow start or enemy pressure can hinder her effectiveness.

Spells Overview


Her Blink ability is the cornerstone of her arsenal. Blink is not just a mere teleportation ability; it's an embodiment of her swift and calculated nature on the battlefield.

When she activates Blink, there's a sense of fluidity and control that defines her gameplay. It's not just a means of escape or initiation; it's a dance across the map, a daring leap into the fray, or a cunning retreat. The way she effortlessly blinks in and out of combat showcases her agility, making her a formidable force to reckon with.

In the hands of a skilled player, Blink becomes a tool for mind games, strategic positioning, and surprise attacks. It's a testament to the player's understanding of timing and positioning. With a precise Blink, Queen of Pain can turn the tides of battle, catching enemies off-guard, or elegantly evading fatal blows.

What truly sets Queen of Pain's Blink apart is its versatility. It's not just about getting from point A to point B; it's about the infinite possibilities it offers. Whether it's dodging lethal projectiles, chasing down fleeing foes, or setting up devastating combinations, Blink grants her unparalleled mobility that defines her as a dominant force in the game.

In essence, Queen of Pain's Blink isn't just a skill; it's an art form, a symbol of finesse and control that elevates her gameplay to unparalleled heights, making her a fearsome and mesmerizing presence on the battlefield. Here is the summary of blink importances:

1. Mobility and Positioning

- Engagement: Blink allows Queen of Pain to initiate fights or ganks with precision. Use it to close gaps quickly, catch opponents off-guard, and unleash her abilities for maximum impact.

- Escape: Blink serves as an invaluable escape tool. Always keep it available when enemies threaten you. Use it to retreat to safety or juke enemies through tricky maneuvers.

2. Mind Games and Jukes

- Blink Deception: Use Blink to confuse enemies. Fake engages or retreats by using it in unexpected directions, making opponents waste abilities or chase in the wrong direction.

- Juking: In tight situations, Blink can be used to dodge enemy spells. Master the timing to Blink at the right moment to evade targeted abilities or skill shots.

3. Efficient Farming and Lane Control

- Farm Acceleration: Blink enables quick movement between jungle camps and lanes. Use it to farm efficiently and maintain map pressure.

- Lane Dominance: Harass opponents in lane by Blinking in for a quick harass with abilities and then Blinking back to safety. This keeps pressure on enemies while minimizing risks

4. Coordinated Team Play

- Combos and Follow-ups: Coordinate with allies for devastating combos. Blink in, unleash abilities, and let your team follow up for efficient team fights or pick-offs.

- Objective Control: Use Blink to secure objectives swiftly. Blink in for surprise attacks on towers, barracks, or Roshan, catching opponents off-guard.

5. Item Synergy

- Itemization: Consider Blink's synergy with items like Aghanim's Scepter, Orchid Malevolence, or Scythe of Vyse. They amplify her ability to Blink in, disable foes, and deal immense damage.

6. Practice and Map Awareness

- Practice Tool: Master the Blink range. Practice Blinking over walls, through trees, or to specific locations to enhance your escape and engage potential.

- Map Awareness: Continuously assess the map. Blink can quickly rotate you across the battlefield for split-second decisions, whether to defend, gank, or join team fights.

Remember, Blink is not just a mobility skill; it's the cornerstone of Queen of Pain's playstyle. It demands quick decision-making, precise execution, and a deep understanding of the battlefield. Mastering Blink will elevate your Queen of Pain gameplay to new heights, making you a formidable force on the battlefield.

Shadow Strike

Ah, Shadow Strike, the insidious spell in Queen of Pain's arsenal. This ability embodies her cunning and ruthless nature, inflicting torment upon her enemies. Shadow Strike isn't just a simple debuff; it's a relentless assault that cripples foes both physically and psychologically.

When Queen of Pain unleashes Shadow Strike, there's an air of impending doom for her target. The slow, coupled with the damage over time, represents her calculated and methodical approach to dismantling adversaries. It's not just about dealing damage; it's about asserting dominance and control over the battlefield.

The brilliance of Shadow Strike lies in its ability to chip away at the enemy's strength while disrupting their movements. The strategic use of this ability can cripple an opponent's ability to engage in combat effectively. Whether it's harassing in lane or securing kills in team fights, Shadow Strike serves as both a tool of aggression and a method of control.

Furthermore, the psychological impact of this ability is undeniable. The constant ticking damage and the lingering slow instill fear and panic in her foes, forcing them to either endure the pain or retreat, granting Queen of Pain a significant advantage in any engagement.

Much like her persona, Shadow Strike embodies the relentless pursuit of victory. It's not just about inflicting damage; it's about asserting dominance and demoralizing her adversaries, solidifying Queen of Pain's reputation as a formidable and merciless opponent on the battlefield. Here is the summary of Shadow Strike importances:

1. Laning Phase Dominance

- Harassment: Utilize Shadow Strike to harass enemy heroes in the lane. Its damage-over-time effect and slow make it an excellent tool to chip away at opponents' health and control their movements.

- Economy of Mana: Be mindful of your mana pool. Shadow Strike's effectiveness lies in its consistent use without draining your resources too quickly. Balance its usage to maintain lane pressure.

2. Zoning and Control

- Zoning Tool: Shadow Strike creates a zoning effect. Enemies will be more cautious about engaging or staying in range, allowing you to control the tempo of the lane.

- Forcing Regen: Apply Shadow Strike to force opponents to use healing items or consume valuable resources like tangos and healing salves, disrupting their farming and sustainability.

3. Securing Kills and Assists

- Set up for Kills: Combine Shadow Strike with your other abilities to set up kills. The slow effect makes it easier to land subsequent spells, ensuring maximum damage output.

- Assist in Ganks: When ganking other lanes, open with Shadow Strike to hinder enemy movement, making it easier for your allies to secure kills.

4. Defensive Utility

- Fending Off Enemies: If you're under threat, using Shadow Strike can deter enemies from pursuing you. Apply it to the closest enemy chasing you to slow them down, buying time for escape.

- Disruption in Team Fights: In team fights, use Shadow Strike on high-priority targets to disrupt their positioning and limit their effectiveness in the battle.

5. Skill Build and Timing

- Skill Priority: Depending on the lane matchup and game progression, adjust the priority of leveling Shadow Strike. Maximize it earlier against heroes that can be heavily harassed or require zoning.

- Early vs. Mid-Game Impact: Assess the impact of Shadow Strike in both early and mid-game. It can be a potent tool in lane dominance as well as team fights.

6. Synergy with Items and Talents

- Itemization: Consider items that complement Shadow Strike's utility, like Veil of Discord or items that amplify magical damage.

- Talents: Some talents can enhance Shadow Strike's effectiveness, such as talents that increase its damage or reduce its cooldown.

Mastering Shadow Strike not only strengthens Queen of Pain's laning presence but also allows her to exert control over the tempo of the game. Understanding its nuances and using it efficiently will significantly impact your effectiveness in both individual matchups and team engagements.

Scream of Pain

Her signature ability, Scream of Pain, truly embodies her ferocity and power. This spell epitomizes her dominance on the battlefield, delivering a devastating sonic blast that echoes her malevolent presence.

The Scream of Pain is not just an ability; it's an auditory manifestation of her dominance, capable of striking fear into the hearts of her enemies. Its area of effect damage can decimate multiple foes at once, echoing her relentless nature and insatiable thirst for inflicting suffering upon her adversaries.

When the Queen of Pain unleashes her Scream of Pain, the air itself seems to tremble with the intensity of her wrath. The chilling soundwave rips through the battlefield, leaving enemies reeling in agony as their life force diminishes. It's a symphony of chaos, a testament to her command over the forces of pain and destruction.

The potency of this ability lies not only in its damage but also in its psychological impact. The echoing scream serves as a constant reminder of her presence, haunting enemies and disrupting their focus in battle. Her enemies know that wherever they go, her scream might follow, a constant threat lurking in the shadows.

In essence, the Scream of Pain embodies Queen of Pain's essence

Skill build

Standard Build / Offlane Build / Midlane Build

Level 1 - Shadow Strike
Level 2 - Blink
Level 3

Item Options Overview


The Bottle is a versatile and widely used item in Dota 2, providing Queen of Pain with crucial sustain and utility throughout the game.

For Queen of Pain, the Bottle serves several essential purposes. It offers both health and mana regeneration through charges that can be refilled by picking up runes or using the bottle-crow technique. This regeneration ensures that she can sustain herself in the lane, allowing her to spam her spells for harassment or securing last hits without having to return to the fountain frequently.

The Bottle's flexibility in storing and utilizing runes is particularly advantageous for Queen of Pain. Runes such as Haste, Invisibility, or Double Damage can significantly enhance her ganking potential, allowing her to roam and secure kills in other lanes effectively. Additionally, the Regeneration rune, when bottled, provides an instant and substantial boost to her health and mana, enabling her to stay active on the map without needing to go back to base.

Furthermore, during intense fights or skirmishes, the Bottle's quick regeneration effect can be a game-changer. It allows Queen of Pain to recover health and mana swiftly, enabling her to stay in the fight longer and cast her spells more frequently, potentially turning the tide of engagements.

Overall, the Bottle is an essential early-game item for Queen of Pain, providing her with sustain, rune control, and the ability to stay active on the map, contributing significantly to her laning phase dominance, ganking potential, and overall impact in the game.

Power Treads

Power Treads serve as a versatile and impactful footwear choice for Queen of Pain in Dota 2, offering a range of benefits that complement her playstyle across different phases of the game.

At its core, Power Treads provide Queen of Pain with a flexible attribute boost. The ability to toggle between Strength, Agility, and Intelligence allows her to adapt swiftly to varying situations. When in need of increased survivability, switching to Strength Treads grants her additional health, potentially saving her from burst damage or precarious scenarios. On the other hand, toggling to Agility provides her with augmented attack speed and damage, amplifying her right-click potential during engagements or when pushing lanes. Intelligence Treads bolster her mana pool, aiding her spellcasting capability and overall magical damage output.

The incremental build-up of Power Treads is another aspect that benefits Queen of Pain. Its components - Gloves of Haste, Boots of Speed, and either Belt of Strength, Robe of the Magi, or Blades of Attack - can be acquired in stages during the laning phase without disrupting her core item progression. This incremental approach ensures she gains incremental benefits, such as increased attack speed and mobility, without slowing down her other itemization paths.

Furthermore, the combination of increased attack speed and damage from Power Treads significantly amplifies Queen of Pain's mid-game presence. It empowers her ability to dish out damage not only with her spells but also with her basic attacks. This becomes particularly relevant when she's engaging in skirmishes, split-pushing lanes, or trying to secure kills.

Ultimately, the adaptability, incremental build-up, and the added offensive potential make Power Treads a compelling choice for Queen of Pain, enhancing her survivability, damage output, and overall impact in the game.


Grants a powerful nuke, which can be upgraded up to five levels. While Dagon might seem enticing due to its burst potential, especially for heroes like Queen of Pain who possess high magical damage output, its viability on her can be situational.

For Queen of Pain, Dagon can offer additional burst damage, synergizing with her skillset that already includes significant magical damage from abilities like Shadow Strike and Sonic Wave. It allows her to amplify her burst potential, enabling her to quickly eliminate squishy enemy heroes or finish off low-health opponents.

However, the decision to purchase Dagon on Queen of Pain should be carefully considered based on the game's circumstances. Investing gold into Dagon means delaying other core items that could potentially offer more utility or survivability. Queen of Pain often benefits more from items that enhance her overall impact in team fights, such as Orchid Malevolence, Aghanim's Scepter, or defensive items like BKB (Black King Bar).

Moreover, Dagon's effectiveness tends to diminish as the game progresses and enemy heroes gain more health and defensive items, making its impact less significant in the later stages.

In summary, while Dagon can provide Queen of Pain with additional burst damage potential, its purchase should be weighed against other more versatile and impactful items that could benefit her survivability, utility, and scalability throughout the game. Understanding the specific dynamics of the match and evaluating whether the burst damage from Dagon outweighs the potential benefits of alternative items is crucial when considering it for Queen of Pain.

Rod of Atos

Rod of Atos can serve as a strategic utility item for Queen of Pain, offering versatile benefits that complement her skill set and playstyle. Its primary advantage lies in providing her with a long-range control mechanism through its targeted root ability. This root effect allows Queen of Pain to hinder the movement of enemy heroes from a distance, effectively pinning them in place and restricting their mobility. For a hero like Queen of Pain, who excels in burst damage and relies on landing her spells accurately, this control aspect can significantly enhance her ability to land devastating combinations like Scream of Pain and Sonic Wave, securing kills or tipping team fights in her team's favor.

Additionally, the mana and health boosts provided by Rod of Atos are particularly beneficial for Queen of Pain. The increased intelligence bolsters her mana pool, enabling her to cast her spells more frequently without facing early mana shortages. This attribute is crucial for a hero reliant on her magical abilities to deal damage and exert control in fights. Furthermore, the added health contributes to her survivability, offering some buffer against incoming damage, allowing her to sustain herself better during engagements.

However, while Rod of Atos presents advantages, its effectiveness might be influenced by the specific circumstances of the match. Queen of Pain's innate mobility through Blink might diminish the necessity of the root effect in certain scenarios, especially against highly mobile opponents or heroes equipped with escape abilities. In these situations, the value of the root might be diminished or less impactful compared to other items that better complement her spellcasting potential or survivability.

In summary, Rod of Atos can be a valuable utility item for Queen of Pain, providing control and additional stats that aid in her spellcasting and survivability. Its effectiveness hinges on the dynamics of the match and the necessity for added crowd control against less mobile opponents. While it may not always be a core item, its versatility and control aspects can make it a strategic choice in situations where additional lockdown or control is crucial for securing kills or controlling team fights effectively.

Witch Blade

Witch Blade is an agility-based item that offers a mix of offensive and defensive attributes, making it an interesting choice for heroes like Queen of Pain who benefit from increased attack speed and stats.

For Queen of Pain, Witch Blade offers several advantages. The bonus agility from Witch Blade provides increased attack speed and armor, bolstering her right-click damage potential and making her slightly more durable in fights.

The item's active ability, Flare, can be quite impactful. It releases a slowing projectile that deals damage over time to enemies, reducing their attack speed. This ability not only adds to Queen of Pain's damage output but also provides her with additional utility in fights, aiding in chasing down enemies or disrupting their attacks during engagements.

Moreover, Witch Blade's build-up involves relatively accessible components (Javelin, Blades of Attack, and Robe of the Magi), allowing Queen of Pain to acquire it in stages during the laning phase without significantly delaying her core item progression.

However, it's important to note that while Witch Blade offers decent offensive and defensive attributes, there might be other items that could be considered more impactful in certain situations. Items like Orchid Malevolence provide Queen of Pain with silence, amplifying her burst damage potential, while defensive items like BKB (Black King Bar) or Aghanim's Scepter might offer more versatility and survivability in team fights.

Witch Blade can be a viable situational item for Queen of Pain, especially when looking to bolster her attack speed, damage, and utility in fights, but its effectiveness might vary depending on the specific dynamics of the game and the team's needs.

Eul's Scepter

Eul's Scepter of Divinity is a versatile and multi-functional item that can be particularly useful for Queen of Pain in various scenarios.

Firstly, Eul's provides Queen of Pain with valuable stats such as intelligence and mana regeneration, enhancing her mana pool and sustain during the game. This increase in intelligence also boosts her spell damage output.

One of the key benefits of Eul's for Queen of Pain is its active ability, Cyclone. This ability can be used defensively or offensively. Defensively, Cyclone can be employed to dodge incoming spells or remove Queen of Pain from a dangerous situation, providing her with a form of escape. Offensively, Cyclone can set up her skills by lifting an enemy into the air, giving her time to position herself for accurate spell casts, especially following up with a Blink to initiate or secure a kill.

Additionally, Eul's can be utilized to interrupt enemy channels or TPs, providing Queen of Pain with a reliable form of crowd control and disruption during team fights.

The item's components (Staff of Wizardry, Void Stone, and Wind Lace) offer a smooth build-up, providing Queen of Pain with incremental benefits as she acquires its components during the laning phase.

While Eul's Scepter is a versatile and useful item for Queen of Pain due to its multiple functionalities and utility, its selection should depend on the specific dynamics of the game. It provides her with mana sustain, crowd control, and both defensive and offensive capabilities, making it a valuable addition to her arsenal in most situations.

Orchid of Malevolence

Orchid Malevolence is an excellent item choice for Queen of Pain, providing her with a potent combination of offensive and utility benefits that synergize well with her skill set.

Firstly, Orchid Malevolence grants Queen of Pain a significant intelligence boost, enhancing her mana pool and spell damage output. This increase in intelligence not only amplifies her magical damage but also provides her with much-needed mana sustain during fights and skirmishes.

The item's active ability, Soul Burn, is its defining feature. It silences the target for a duration and amplifies the damage they receive during this period. This silence is extremely valuable for Queen of Pain as it prevents enemy heroes from casting spells, rendering them vulnerable to her burst damage. This can be crucial when initiating or chasing down targets, ensuring they cannot escape or counter her spells effectively.

Additionally, the components required to build Orchid Malevolence (two Oblivion Staffs and a 300 gold recipe) provide incremental benefits during the build-up phase, such as increased attack speed and mana regeneration, which are beneficial to Queen of Pain's gameplay in the early to mid-game stages.

The item not only amplifies Queen of Pain's damage potential but also offers utility in terms of silencing key enemy heroes, disrupting their abilities, and ensuring successful ganks or team fights.

Overall, Orchid Malevolence is a strong and popular choice for Queen of Pain, providing her with a blend of damage amplification, mana sustain, and a crucial silence effect that greatly enhances her ability to burst down enemies and control engagements effectively.


Kaya is an item in Dota 2 that offers Queen of Pain a boost in intelligence, spell amplification, and mana cost reduction, making it a cost-effective choice for enhancing her spellcasting capabilities.

The intelligence bonus from Kaya not only increases Queen of Pain's mana pool but also augments her magical damage output due to the amplification effect it provides. This amplification factor benefits her abilities, making her spells hit harder during engagements.

Additionally, the mana cost reduction offered by Kaya allows Queen of Pain to cast her spells more frequently without worrying too much about depleting her mana pool too quickly. This increased spellcasting potential can be crucial during prolonged fights, allowing her to dish out more damage over time.

Kaya is also a component of several upgraded items like Kaya and Sange or Yasha and Kaya, offering Queen of Pain the option to further enhance her capabilities in different ways depending on the game's circumstances.

While Kaya is a decent early to mid-game item for Queen of Pain due to its affordability and spell-focused benefits, its effectiveness might diminish as the game progresses and she starts to prioritize bigger and more impactful items like Orchid Malevolence, Aghanim's Scepter, or defensive items such as BKB (Black King Bar) to ensure her survivability in team fights.

Kaya provides Queen of Pain with a cost-effective boost in spell damage and mana efficiency, making it a viable early-game option to amplify her magical prowess and impact during the earlier stages of the match.

Assault Cuirass

Assault Cuirass is an armor and attack speed boosting item that's generally more suited for tanky or physical damage-oriented heroes. While it might not be a core item for Queen of Pain due to her role as a spellcaster and burst damage dealer, it can situationally offer some benefits.

The armor aura provided by Assault Cuirass can increase Queen of Pain's overall durability, making her slightly more resistant to physical attacks. This added survivability can be beneficial in situations where she needs to endure more sustained physical damage, especially against lineups heavy on physical damage dealers.

Additionally, the attack speed aura from Assault Cuirass could marginally improve her right-click damage output, making her auto-attacks slightly more potent during fights. However, Queen of Pain's main source of damage comes from her spells rather than her auto-attacks, so the attack speed benefit might not be as significant on her compared to other heroes who rely more on physical attacks.

While Assault Cuirass does offer some defensive and offensive benefits, it's not typically a core item for Queen of Pain due to her focus on magical burst damage and mobility. Her itemization usually revolves around items that enhance her spellcasting, provide crowd control, or offer survivability against magic damage.

Black king Bar

The Black King Bar (BKB) is a crucial and often essential item for Queen of Pain, especially as the game progresses into the mid-to-late stages.

BKB provides Queen of Pain with magic immunity for a duration, rendering her immune to most spells' effects from enemy heroes. This immunity allows her to freely cast her spells without worrying about being disabled, silenced, or receiving magic damage during the BKB's active duration.

For a hero like Queen of Pain, who heavily relies on her spells and mobility in team fights, BKB is invaluable. It ensures that she can jump into the fray, unleash her combo of spells, and escape or reposition without being interrupted by enemy disables or crowd control effects.

As the game advances, teams usually become more reliant on their magical abilities to control and damage opponents. BKB mitigates this threat, providing Queen of Pain with a window of time where she can be highly effective and difficult to stop during team fights.

However, it's essential to time the activation of BKB correctly to maximize its effectiveness. Using it too early might result in wasting its duration, while activating it too late could leave Queen of Pain vulnerable to disables or burst damage.

Black King Bar is a core item for Queen of Pain in many games, offering her the necessary magic immunity to optimize her spellcasting potential, survivability, and impact during team fights, especially against lineups heavy on magical damage or crowd control.


Bloodthorn is a powerful late-game item that can greatly enhance Queen of Pain's offensive capabilities.

This item provides Queen of Pain with several valuable benefits. Firstly, it offers a significant boost in damage, critical strike chance, and attack speed, amplifying her right-click damage potential. This increased damage output synergizes well with her spell-based burst damage, allowing her to deal substantial physical and magical damage simultaneously.

The active ability of Bloodthorn, Soul Rend, is its defining feature. It silences the target and applies a critical strike effect, causing all attacks against the silenced target to land as critical strikes. This combination of silence and amplified damage is incredibly potent, allowing Queen of Pain to burst down targets quickly, especially squishy enemy heroes who heavily rely on spells or mobility.

Additionally, Bloodthorn's components (Orchid Malevolence and Crystalys) provide incremental benefits during the build-up phase. Orchid Malevolence, the primary component of Bloodthorn, already offers Queen of Pain a silence effect, amplifying her magical burst damage before upgrading it into Bloodthorn.

However, Bloodthorn is a relatively expensive item, and its effectiveness might depend on the game's pace and the stage of the match. It's often considered a luxury item for Queen of Pain, picked up in games where she needs to transition into dealing significant physical damage in the later stages or when the team lacks strong disable or silence capabilities.

Bloodthorn is a potent late-game choice for Queen of Pain, providing her with increased damage, critical strikes, and a powerful silence effect that greatly amplifies her offensive potential, making her a formidable threat in team fights and skirmishes.


Daedalus is an item that primarily enhances critical strike chance and damage. While it can significantly amplify the physical damage output of heroes reliant on auto-attacks, it's generally not considered a core item for Queen of Pain due to her role as a spellcaster rather than a right-click-focused hero.

Queen of Pain's gameplay revolves around her magical burst damage from spells like Shadow Strike, Scream of Pain, and Sonic Wave. Her strength lies in dealing substantial magical damage rather than relying heavily on her auto-attacks for damage output.

Daedalus, with its critical strike chance and damage, might slightly increase her right-click damage potential during fights. However, compared to items that enhance her spellcasting capabilities or provide utility, survivability, or crowd control, Daedalus might not offer as much value for Queen of Pain.

In most cases, Queen of Pain benefits more from items that complement her spellcasting prowess, provide crowd control or disable capabilities, or enhance her survivability rather than boosting her right-click damage. As a result, Daedalus is not typically a priority or core item for Queen of Pain.

Eye of Skadi

The Eye of Skadi presents a versatile array of benefits for Queen of Pain across various aspects of her gameplay. This item's significance lies in its multifaceted attributes and effects that enhance both her survivability and utility on the battlefield.

Firstly, the Eye of Skadi provides a substantial boost to Queen of Pain's attributes, featuring increments in strength, agility, and intelligence. These attribute gains collectively bolster her survivability and effectiveness in combat scenarios. The additional strength amplifies her health pool, providing her with increased durability against burst damage attempts by opponents. Simultaneously, the boost in agility enhances her armor and attack speed, contributing to both her survivability and right-click damage potential. Moreover, the extra intelligence grants her a larger mana pool, ensuring sustained spellcasting throughout extended engagements.

One of the most impactful aspects of the Eye of Skadi lies in its unique passive ability to slow both the attack and movement speed of enemies. For Queen of Pain, this becomes an invaluable tool in various situations. The ability to slow opponents' movement speed aids in chasing down fleeing enemies or impeding their escape, offering her team increased opportunities for securing kills. Similarly, the attack speed slow significantly diminishes the damage output of enemy carries or heroes reliant on right-click attacks, making them less effective in team fights. This utility can disrupt enemy positioning, offering Queen of Pain and her team greater control over engagements.

However, despite its numerous advantages, the Eye of Skadi's high cost might necessitate strategic consideration in its purchase. As a relatively expensive item, its acquisition might delay other core items that directly amplify Queen of Pain's burst damage potential or provide immediate utility in team fights. Therefore, its inclusion in her item build might heavily depend on the specific dynamics of each match, weighing the benefits of enhanced survivability and control against the opportunity cost of delayed core items.

The Eye of Skadi stands as a potent late-game option for Queen of Pain, augmenting her survivability, providing crowd control through its slow effects, and elevating her overall effectiveness in team engagements. Its diverse array of attributes and utility can significantly impact her ability to control fights and contribute to her team's success. However, its considerable cost prompts careful consideration based on the evolving needs and circumstances of each match.

Ethereal Blade

Purchasing Ethereal Blade for Queen of Pain can dramatically amplify her effectiveness in multiple facets of gameplay, making it a strategic choice in certain situations.

Firstly, the increased spell amplification from the item augments Queen of Pain's spell damage significantly. Her kit, comprising Scream of Pain and Sonic Wave, relies heavily on magical damage. The spell amplification attribute from Ethereal Blade empowers these abilities, allowing her to unleash devastating bursts of damage, especially against opponents vulnerable to magic damage. This enhanced burst potential can turn the tide of engagements in her favor, swiftly eliminating foes or weakening them for her team to finish off.

Secondly, the defensive utility provided by Ethereal Blade's active ability becomes a pivotal aspect for Queen of Pain's survivability. The ethereal form renders her immune to physical damage, offering a brief window of protection against right-click-oriented enemies or during moments when she's under threat. This defensive utility allows her to dodge potential physical bursts, buy time for Blink's cooldown, or mitigate damage when caught in precarious situations. Additionally, the 80% slow on enemies amplifies her kiting potential or assists in locking down targets, enabling her and her team to control fights more effectively.

The synergy between the spell lifesteal amplification and Queen of Pain's spellcasting prowess cannot be overlooked. With increased spell lifesteal, she gains more sustenance from her spell damage, allowing her to heal substantially during engagements. This can increase her survivability and longevity in fights, especially when chaining her spells together to deal damage while simultaneously sustaining herself.

Moreover, the significant boost to intelligence and agility contributes additional benefits. The intelligence increase bolsters her mana pool, ensuring she has ample resources to cast her spells without running out of mana quickly. Meanwhile, the agility boost provides slight improvements to her attack speed and armor, offering some defensive benefits and augmenting her right-click damage, although she primarily relies on her spells for damage output.

In essence, acquiring Ethereal Blade for Queen of Pain amplifies her burst damage potential, enhances her survivability against physical threats, provides sustainability through spell lifesteal, and offers utility in controlling engagements with the slow effect. These advantages synergize impeccably with Queen of Pain's playstyle, amplifying her magical prowess and survivability, making it a strategic and impactful choice in certain scenarios, especially when facing lineups vulnerable to magic damage or requiring additional defensive capabilities.


Gleipnir emerges as an intriguing and multi-faceted item choice for Queen of Pain, offering an amalgamation of attributes and effects that greatly influence her control, damage output, and survivability on the battlefield.

Foremost among Gleipnir's advantages is its active ability, Electric Vortex. This skill, when activated, unleashes an area-of-effect attack that inflicts damage while rooting enemies in place. For Queen of Pain, this root effect is invaluable as it confines adversaries, limiting their movement and disrupting their positioning. Such control over enemy heroes sets the stage for Queen of Pain to execute her devastating combination of spells, such as Scream of Pain and Sonic Wave, or to facilitate her team's coordinated assault by setting up kills or disrupting enemy strategies. This control aspect stands as a pivotal tool, allowing her to steer engagements to her team's advantage.

Moreover, Gleipnir's attribute bonuses prove to be of considerable worth to Queen of Pain. The intelligence augmentation significantly boosts her mana pool, enabling her to cast her spells more frequently without depleting her mana reserves quickly. The enhanced intelligence also bolsters her spell damage, elevating the effectiveness of her magical abilities and amplifying the potency of her burst damage potential. Additionally, the attack speed and damage enhancements offered by Gleipnir provide Queen of Pain with added versatility in her damage output, allowing her to diversify beyond her reliance on magical spells.

The build-up for Gleipnir presents a relatively manageable progression, allowing Queen of Pain to acquire its components gradually during the early and mid-game phases. Each piece contributes incremental benefits, such as intelligence, attack speed, and damage, bolstering her presence and effectiveness on the battlefield as she accumulates its components.

However, the decision to invest in Gleipnir might necessitate careful consideration due to its higher cost, potentially delaying the acquisition of other essential core items for Queen of Pain. This delay could impact her immediate impact or power spikes in the game. Furthermore, the situational effectiveness of Gleipnir might hinge on the specific enemy lineup, as well as the demand for additional crowd control or damage amplification in a particular scenario.

In essence, Gleipnir presents Queen of Pain with a tempting option, furnishing her with crowd control, damage amplification, and a spectrum of versatile attributes that augment her control and damage potential. The active ability bestows substantial utility in team fights, granting her the capacity to manipulate engagements to her team's favor. However, its cost and situational effectiveness warrant strategic evaluation based on the ever-evolving needs and dynamics of each match to ascertain its place within Queen of Pain's item progression.

Linken's Sphere

Linken's Sphere presents a compelling choice for Queen of Pain, offering a multitude of benefits that significantly impact her survivability, granting her a defensive edge while enhancing her utility on the battlefield.

First and foremost, the standout feature of Linken's Sphere lies in its spell-blocking ability. This passive effect triggers once every 13 seconds, granting Queen of Pain a safeguard against targeted enemy spells. This defensive mechanism proves invaluable in thwarting single-target abilities aimed at disabling or hindering her. Spells such as Hexes, single-target stuns, or silences that could otherwise compromise her mobility or disrupt her spellcasting are nullified by Linken's Sphere, offering her more freedom to engage or disengage on her terms.

Moreover, the defensive attributes offered by Linken's Sphere significantly bolster Queen of Pain's survivability. The increased strength and intelligence provide incremental boosts to her health and mana pools, fortifying her resilience against burst damage attempts from opponents. Additionally, the health and mana regeneration it offers augment her sustainability during prolonged engagements, ensuring she can stay on the battlefield longer without needing to retreat for regeneration.

The item's build-up presents a gradual acquisition of components throughout the game, each contributing essential benefits like health, mana, and regeneration. This build-up aids Queen of Pain during the laning phase and beyond, strengthening her presence on the map and allowing her to transition into the mid and late game with increased survivability and utility.

However, the decision to invest in Linken's Sphere requires careful consideration based on the enemy lineup and specific threats faced in the match. Against teams with numerous single-target abilities or key spells that heavily impact Queen of Pain's effectiveness, Linken's Sphere shines as a defensive cornerstone. It nullifies crucial enemy abilities, affording her more control over engagements and ensuring her sustained impact in team fights.

In essence, Linken's Sphere serves as a strategic defensive option for Queen of Pain, furnishing her with spell block, defensive attributes, and sustainability. Its spell-blocking ability acts as a safety net, shielding her from targeted spells, allowing her to maneuver more freely in fights. However, its situational effectiveness and the opportunity cost of delaying other core items necessitate thoughtful consideration, evaluating the specific threats posed by the enemy lineup to maximize its defensive utility and Queen of Pain's impact on the battlefield.

Lotus Orb

Lotus Orb represents a multifaceted item choice for Queen of Pain, embodying a blend of defensive attributes, spell reflection, and utility that profoundly influences her survivability and contributions to team engagements.

Central to Lotus Orb's appeal is its active ability, Echo Shell. When activated, it envelops Queen of Pain in a protective shield that reflects most targeted spells back to their originators for a brief duration. This defensive mechanism not only shields her from enemy spells but also turns the opponent's aggression against them. By reflecting key spells such as disables or debuffs back onto the enemy team, Lotus Orb disrupts their strategies and can potentially shift the balance of engagements in Queen of Pain's favor, creating opportunities for turning defense into offense.

In addition to its active ability, Lotus Orb fortifies Queen of Pain's defenses with a selection of defensive attributes. The boosted armor, mana, and health regeneration significantly bolster her durability and sustainability in battle. The increased armor enhances her physical resilience, while the enhanced mana and health regeneration allow her to remain actively involved in skirmishes for prolonged periods, reducing the need for frequent retreats to regenerate resources.

Moreover, Lotus Orb offers utility beyond its defensive capabilities. The item's ability to dispel certain debuffs upon activation of Echo Shell proves pivotal in purging harmful effects or disabling conditions, ensuring Queen of Pain retains her mobility and effectiveness in engagements. Its gradual build-up also grants incremental advantages, fostering an evolving enhancement of her survivability and impact throughout the laning phase and into the later stages of the game.

However, the effectiveness of Lotus Orb hinges on the dynamics of each match. Against lineups heavily reliant on targeted spells or disables, Lotus Orb shines as a strategic defensive choice, turning the tables on the opponent's aggression and enhancing Queen of Pain's survivability significantly. Yet, its impact might diminish against lineups centered on area-of-effect or non-targeted spells, reducing its prominence in certain situations.

In essence, Lotus Orb stands as a valuable defensive asset for Queen of Pain, furnishing her with spell reflection, defensive attributes, and utility. Its reflective capabilities disrupt enemy strategies, providing defensive advantages and potential turning points in battles. Nonetheless, its situational nature necessitates thoughtful consideration, weighing the specific threats posed by the enemy lineup to ensure its optimal utilization and amplification of Queen of Pain's defensive utility on the battlefield.


Mjollnir emerges as a multifaceted and impactful choice for Queen of Pain, intertwining offensive capabilities with defensive attributes that augment her damage output and survivability in a variety of situations.

At its core, Mjollnir stands out for its capacity to unleash chain lightning on attacks, delivering damage to multiple foes within a confined area. This unique effect significantly amplifies Queen of Pain's damage potential during clashes, enabling her to spread damage across clustered enemy heroes. Furthermore, the augmented attack speed from Mjollnir not only escalates her right-click damage but also diversifies her damage sources, complementing her magical prowess with increased physical damage output.

The active ability of Mjollnir, the Static Charge, extends a protective shield that triggers a chain lightning counter on attackers. This defensive mechanism serves as a deterrent, dissuading adversaries from directly targeting Queen of Pain. The counter-procs not only deal damage but also contribute to her survivability by compelling opponents to reconsider focusing their assaults on her, thereby bolstering her presence and resilience in engagements.

Moreover, the item's build-up involves manageable components, ensuring Queen of Pain gains incremental advantages as she gradually assembles the item throughout the game. Mjollnir's attributes, notably the boost in attack speed and damage, furnish her with incremental enhancements that fortify her right-click damage output, offering a complementary avenue to her magical damage potential.

However, the effectiveness of Mjollnir might hinge on the specific dynamics of each match. Against lineups where opponents cluster together or utilize units in close proximity, Mjollnir's chain lightning effect can exert substantial impact, dealing significant damage across grouped enemies. Conversely, in scenarios where adversaries tend to spread out during engagements, the potential of chain lightning might see diminished effectiveness.

In essence, Mjollnir stands as a dynamic choice for Queen of Pain, intertwining offensive prowess with defensive utility. Its chain lightning augments her damage output, while the Static Charge enhances her survivability by dissuading direct targeting. Nevertheless, careful consideration of its situational effectiveness, based on enemy engagement strategies, is essential to optimize its impact in amplifying Queen of Pain's offensive capabilities and fortifying her defensive presence on the battlefield.

Monkey King Bar

Monkey King Bar (MKB) emerges as a crucial addition to Queen of Pain's arsenal, offering a diverse array of benefits that significantly bolster her offensive capabilities and provide a reliable solution against evasion-based threats.

At its core, MKB's primary allure lies in its ability to bestow True Strike to its wielder. This unique attribute ensures that Queen of Pain's attacks pierce through evasion, rendering any miss chances or evasion-based abilities ineffectual against her strikes. This reliability in landing attacks proves invaluable, particularly against opponents who rely on evasion, ensuring that Queen of Pain's damage output remains consistent and unwavering, regardless of her adversaries' evasive abilities or items.

Beyond its piercing True Strike, MKB amplifies Queen of Pain's offensive prowess with an increase in damage and attack speed. These enhancements complement her skill set by augmenting her right-click damage potential. The heightened attack speed not only elevates her damage output but also diversifies her sources of damage, offering a supplementary avenue for dealing significant harm to adversaries, especially when her magical spells are on cooldown or against targets resistant to magic.

Moreover, the build-up towards MKB involves manageable components, allowing Queen of Pain to accrue incremental advantages as she progresses towards its completion. Its reliability in ensuring that attacks connect without fail against evasive targets provides her with a consistent damage output, making it a strategic choice when confronted with heroes reliant on evasion-based abilities or items.

However, the effectiveness of MKB hinges on the presence of evasion within the enemy lineup. Against opponents boasting high evasion capabilities from items like Butterfly or abilities like Windranger's Windrun, MKB stands out as an indispensable counter, ensuring Queen of Pain's attacks remain unhampered. Yet, in matchups where evasion is absent or negligible, the item's overall impact on her damage output might be less pronounced compared to alternatives that directly amplify her burst potential or control abilities.

In essence, Monkey King Bar stands as a pivotal offensive asset for Queen of Pain, providing her with True Strike to counter evasion, increased damage, and attack speed. Its reliability in guaranteeing consistent attacks against evasive targets bolsters her damage output and furnishes her with a strategic advantage in engagements against heroes reliant on evasion-based abilities or items. Nevertheless, its situational effectiveness against specific enemy lineups remains a key consideration to ensure optimal utilization within Queen of Pain's item progression.

Octarine Core

Octarine Core, an unconventional yet intriguing option for Queen of Pain, introduces a distinctive set of advantages centered around cooldown reduction, spell lifesteal, and enhanced mana sustainability.

The primary allure of Octarine Core lies in its pronounced reduction in spell cooldowns. For Queen of Pain, this translates into quicker availability of her essential abilities. The decreased cooldowns enable her to cast her repertoire of spells more frequently during skirmishes, providing increased opportunities for burst damage with abilities like Shadow Strike, Scream of Pain, or Sonic Wave. This heightened spell availability contributes significantly to her disruptive potential and sustained damage output in prolonged engagements or team fights.

Another compelling aspect of Octarine Core is its spell lifesteal component, granting Queen of Pain the ability to regenerate health based on the damage dealt by her spells. This unique sustain mechanism allows her to recuperate health during engagements, potentially prolonging her presence in battles and providing an added layer of survivability. The spell lifesteal synergizes well with her ability to cast spells frequently, making her more resilient and self-sustaining in prolonged fights, where sustained damage and resilience are crucial.

Moreover, Octarine Core bolsters Queen of Pain's mana pool, ensuring she has a larger reserve of mana to draw from when casting her spells. This increment in mana pool amplifies her sustained spellcasting capacity, mitigating the risk of running out of mana during extended engagements. It facilitates her continuous contribution in fights, empowering her to unleash her spells without restraint, maximizing her damage potential and control abilities over the duration of engagements.

However, while Octarine Core offers these distinct advantages, its viability on Queen of Pain remains situational. The item's effectiveness thrives in scenarios emphasizing prolonged team fights or engagements where cooldown reduction and sustained spellcasting are paramount. Yet, its acquisition might delay essential core items that directly amplify her burst damage potential or provide immediate utility in team fights, prompting strategic trade-offs.

In essence, Octarine Core presents an atypical yet intriguing option for Queen of Pain, providing cooldown reduction, spell lifesteal, and increased mana sustainability. Its effectiveness shines in engagements that prioritize prolonged fights, enabling her sustained presence and damage output. However, its situational nature and potential trade-offs in delaying core items warrant careful consideration, evaluating the specific demands and dynamics of each match to ascertain its optimal inclusion within Queen of Pain's item progression.

Refresher Orb

Refresher Orb stands as a game-changing but situational choice for Queen of Pain, offering unparalleled potential for resetting her powerful abilities, allowing her to unleash devastating combinations or control spells twice in quick succession.

The standout feature of Refresher Orb lies in its ability to refresh all her abilities and items instantly upon activation. For Queen of Pain, this translates into the capability to cast her ultimate, Sonic Wave, twice in rapid succession, potentially dealing immense burst damage to multiple enemies. Additionally, it grants her the opportunity to reapply key control spells such as Shadow Strike or Scream of Pain, amplifying her disruptive potential and crowd control capabilities in team fights.

However, Refresher Orb's effectiveness heavily depends on the mana pool of Queen of Pain and the significance of landing a second round of her powerful spells. The item demands a considerable mana reserve to accommodate the double activation of spells, necessitating adequate mana management or supplementary mana regeneration sources to support its utilization effectively.

In scenarios where team fights or engagements hinge on Queen of Pain's ability to execute devastating combos or exert control repeatedly, Refresher Orb shines as a strategic choice. Its potential to double the impact of her abilities offers a game-changing advantage, turning the tides of battles in her favor or securing critical kills with the element of surprise.

Nevertheless, the acquisition of Refresher Orb might delay essential core items crucial for her immediate impact or power spikes in the game. Its situational effectiveness demands careful consideration, weighing the urgency of double-casting her spells against the potential delay in acquiring other items that directly amplify her burst damage or control abilities.

In essence, Refresher Orb stands as a high-impact yet situational option for Queen of Pain, granting her the capability to double-cast her potent spells and items. Its effectiveness shines in scenarios where double-casting her abilities is pivotal for securing victories or turning engagements in her favor. However, its situational nature and potential trade-offs in delaying core items require meticulous assessment, considering the specific demands and dynamics of each match to ascertain its optimal utilization within Queen of Pain's item progression.

Revenant's Brooch

Revenant's Brooch emerges as a game-changing addition to Queen of Pain's arsenal, offering a myriad of advantages that significantly amplify her prowess on the battlefield. The substantial boosts to Intelligence and Attack Speed bestowed by the item are fundamental, empowering her spellcasting potential and augmenting her physical damage output. This enhanced attribute synergy fuels her ability to deliver devastating bursts of magical damage while ensuring a relentless onslaught of right-click attacks.

Moreover, the defensive attributes of Revenant's Brooch, particularly the added Armor, provide Queen of Pain with an increased level of resilience against physical assaults, granting her the durability needed to endure prolonged engagements. The item's passive ability, Poisonous Strike, perfectly complements her hit-and-run style, afflicting adversaries with a debilitating poison that slows their movements and steadily erodes their health, further solidifying her control over the battlefield.

However, the true mastery lies in the item's active ability, Phantom Province. Queen of Pain harnesses this powerful effect to gain True Strike for her attacks, ensuring pinpoint accuracy against evasive targets and unleashing a barrage of magical damage. The applied -20% Magic Resistance debuff before the damage is dealt amplifies her spells' potency, allowing her to deliver devastating bursts of magical damage, crippling opponents and turning the tide of battles in her favor.

Overall, Revenant's Brooch seamlessly integrates into Queen of Pain's versatile combat style, enhancing her spellcasting finesse and physical onslaught. Its blend of offensive and defensive attributes, coupled with the potent active and passive effects, elevates her effectiveness in engagements, making her an even more formidable and versatile force to be reckoned with on the battlefield.

Scythe of Vyse

The Scythe of Vyse, often referred to as Sheepstick, is a highly coveted and impactful item choice for Queen of Pain, providing a potent crowd control mechanism and a significant boost to her overall utility in team fights.

The primary allure of Scythe of Vyse lies in its active ability - Hex. This ability instantly transforms a targeted enemy into a defenseless creature, usually a sheep, for a duration, rendering them unable to attack or use abilities. For Queen of Pain, this hex serves as a powerful tool to disable key enemy heroes, nullifying threats or interrupting crucial abilities during engagements. It greatly enhances her ability to control fights by temporarily removing an opponent from action, allowing her team to focus on priority targets or set up successful ganks.

Moreover, the item provides valuable attributes like intelligence, mana regeneration, and a bit of strength and agility, which collectively benefit Queen of Pain's kit. The intelligence boost not only enhances her damage output but also amplifies the effectiveness of her spells, increasing their potency in team fights or skirmishes. Additionally, the added mana regeneration contributes to her sustainability, ensuring she has the resources to continue exerting pressure with her abilities.

The build-up towards Scythe of Vyse might require some investment, but its impact on Queen of Pain's control and utility in fights is undeniable. Its utility extends beyond just disable; it enables Queen of Pain to initiate or follow up on team engagements effectively, creating opportunities for her team to secure kills or control the flow of battles.

In summary, Scythe of Vyse stands as an influential choice for Queen of Pain, providing a crucial disable and a boost in attributes that enhance her damage output and sustainability. Its ability to instantly hex a target, disabling them from action, elevates her control and utility in team fights, making it a highly prized item for Queen of Pain in many situations.

Shiva's Guard

Shiva's Guard is a potent defensive and utility-oriented item that can greatly benefit Queen of Pain in various scenarios, offering a blend of survivability, control, and team fight impact.

The standout feature of Shiva's Guard lies in its active ability, Arctic Blast. Upon activation, it emits a freezing wave that deals damage to nearby enemies and slows their movement and attack speed. This provides Queen of Pain with a significant area-of-effect control, disrupting enemy movements and engagements, and allowing her to dictate the pace of team fights. The slow effect complements her skill set, giving her greater control over the battlefield while potentially setting up advantageous situations for her team.

Additionally, Shiva's Guard provides valuable defensive attributes such as armor and intelligence. The increased armor augments Queen of Pain's physical resilience, reducing incoming physical damage and enhancing her survivability in engagements. Moreover, the intelligence boost not only amplifies her damage output but also augments the effectiveness of her spells, making her more impactful in team fights by increasing the potency of her abilities.

The item's build-up might require significant investment, but its impact on Queen of Pain's survivability and team fight presence is undeniable. Shiva's Guard serves as a strategic choice in scenarios where Queen of Pain needs to augment her survivability against physical damage threats or when her team lacks significant crowd control abilities.

Shiva's Guard emerges as a compelling choice for Queen of Pain, offering a balance of defensive attributes, control through Arctic Blast, and a boost in intelligence. Its ability to provide area-of-effect control and enhance her survivability makes it a valuable asset in team fights and engagements, contributing significantly to Queen of Pain's impact and control on the battlefield.

Aghanim's Scepter

The Aghanim's Scepter upgrade for Queen of Pain's Shadow Strike introduces a profound transformation to her abilities, offering a range of benefits that greatly enhance her prowess on the battlefield.

Firstly, the upgraded Shadow Strike enables Queen of Pain to apply the initial damage to all enemies within a 400-radius area surrounding the target. This expanded reach elevates her area control significantly, providing her with the capability to affect multiple opponents simultaneously. In team fights or skirmishes, this newfound ability to spread damage across a broader area can disrupt enemy formations and weaken several adversaries at once, creating advantageous situations for her team to capitalize upon.

This enhancement inherently bolsters her damage output. By inflicting the boosted initial damage to multiple foes, Queen of Pain increases her impact in engagements, potentially softening up several enemies simultaneously. This not only weakens their defenses but also sets the stage for follow-up spells or coordinated attacks from her team to secure kills or turn the tide of battles in their favor.

Additionally, the secondary effect of triggering a Scream of Pain upon the cessation or re-application of Shadow Strike further amplifies her crowd control capabilities. This additional area-of-effect damage inflicts chaos among nearby enemies, disrupting their positioning and damaging multiple foes. This expanded crowd control ability can disorient opponents, making it challenging for them to coordinate effectively or engage as a cohesive unit.

Ultimately, this Aghanim's Scepter upgrade bestows Queen of Pain with increased versatility in engagements. It transforms her Shadow Strike into a multifaceted tool, offering her the ability to affect multiple enemies at once. This augmentation provides her with a broader range of control, damage, and disruption in team fights, making her an even more threatening presence on the battlefield.

"Sonic Scepter!"

Abyssal Blade

The Abyssal Blade is a powerful late-game item that can significantly augment Queen of Pain's offensive potential and provide her with an additional disable, adding to her burst damage and control capabilities.

The primary allure of Abyssal Blade lies in its active ability, Overwhelm. This ability allows Queen of Pain to instantly stun and deal significant bonus damage to a targeted enemy unit, providing her with a reliable and instant disable. This extra disable is invaluable, especially during late-game scenarios or against heroes with escape mechanisms, allowing her to lock down high-priority targets and ensure they cannot use abilities or items for a brief period.

Additionally, Abyssal Blade offers a considerable boost to her damage output through bonus damage and increased damage block, further enhancing her right-click potential in addition to her spell-based damage. The increased damage block improves her survivability against physical attacks, bolstering her resilience in engagements where she might be susceptible to heavy physical damage.

However, the build-up to Abyssal Blade might demand significant investment, considering its higher cost and the progression required to assemble its components. This can potentially delay other core items that directly amplify her burst damage or utility in team fights.

Overall, Abyssal Blade stands as a high-impact choice for Queen of Pain, providing her with an extra disable, bonus damage, and increased survivability against physical attacks. Its ability to instantly stun and deal significant bonus damage offers her additional control and burst potential, making it a valuable late-game addition, particularly when securing key kills or locking down elusive foes is crucial for her team's success.

Items Builds

Midgame Item Builds

Build 1

This item build tailored for Queen of Pain revolves around a strategic amalgamation of offensive prowess and defensive measures, aiming to create a well-rounded hero capable of controlling engagements while remaining durable in the heat of battles.

The Orchid of Malevolence stands as a cornerstone offensive item, providing Queen of Pain with crucial attributes such as increased attack speed, mana regeneration, and a potent silence effect. This silence is fundamental, allowing her to disrupt enemy spells, control fights, and secure kills by impeding opponents from casting their crucial abilities.

On the defensive side, Linken's Sphere emerges as the linchpin. Its spell block ability offers Queen of Pain an added layer of defense against targeted enemy spells. This defensive utility enables her to navigate fights more confidently, engage or disengage strategically, and nullify specific dangerous abilities, ensuring her survivability in crucial moments.

The strategic interplay between these items is paramount. The offensive capabilities granted by Orchid of Malevolence complement Queen of Pain's aggressive playstyle, empowering her to initiate fights and exert control through silencing key enemies. Meanwhile, Linken's Sphere fortifies her defenses, providing a safety net against detrimental enemy spells, enabling her to maneuver more safely within team fights and potentially turn the tide of engagements.

This hybrid approach, balancing offense and defense, enables Queen of Pain to adapt to various scenarios on the battlefield. However, as the game progresses and the enemy lineup evolves, remaining flexible with item choices becomes imperative. Adapting the itemization to counter specific threats or exploit enemy weaknesses is key to maximizing Queen of Pain's impact and ensuring her effectiveness throughout the match.

Build 2

This item build tailored for Queen of Pain revolves around establishing early dominance and leveraging offensive capabilities to control the mid-game engagements.

By combining these items, this build aims to empower Queen of Pain during the early stages of the game, enabling her to assert dominance in the mid-lane and secure advantages for her team. The Orchid of Malevolence allows her to initiate fights and disrupt enemy movements, while Witch Blade bolsters her offensive capabilities, making her a significant threat during skirmishes.

The decision on wether to buy Orchid or Witch Blade first depends. If you need a way to initiate and silence key enemy heroes early in the game, Orchid Malevolence could be the better choice. If the game emphasizes more skirmishes, ganking, and right-click damage during team fights, Witch Blade might be a more suitable option.

Sometimes a Black King Bar naturally follows after the purchase of either Orchid or Witch Blade or after getting both of them.

Standard Build 3

This item build prioritizes offensive power combined with increased survivability and magic immunity.

Orchid of Malevolence serves as the primary offensive item in this build. It offers Queen of Pain crucial attributes like mana regeneration, attack speed, and a silence effect. This silence becomes essential, allowing her to control engagements, disrupt enemy abilities, and secure kills by preventing opponents from casting crucial spells.

Black King Bar (BKB) is a defensive choice that provides Queen of Pain with magic immunity. This item allows her to render herself immune to most enemy spells, granting her the ability to enter fights with reduced fear of being disabled by magic-based abilities.

Strategically, this item build balances offensive potential with increased survivability. Orchid of Malevolence enables Queen of Pain to control fights and initiate engagements, while Black King Bar ensures her safety by providing magic immunity, allowing her to maneuver within team fights more freely and with reduced vulnerability to enemy spells.

However, while this build enhances survivability against magic-based threats, it might lack certain attributes or raw damage amplification that other items might provide, potentially limiting her overall damage output or utility in different scenarios. Adaptations to itemization should be considered based on the evolving dynamics of the match and the enemy team's composition.

Situational Build 1

This item build focuses on combining control and utility, providing Queen of Pain with offensive potential and additional crowd control.

Orchid of Malevolence is the primary offensive item, offering Queen of Pain mana regeneration, attack speed, and a silence effect. This silence is crucial, allowing her to control fights, disrupt enemy abilities, and secure kills by preventing opponents from casting critical spells.

Eul's Scepter of Divinity adds utility and control to Queen of Pain's arsenal. It grants her movement speed, mana regeneration, and the Cyclone ability. This Cyclone can be used defensively to dodge incoming spells or disrupt enemy channels, or offensively to set up her spells, providing an additional disable in her toolkit.

The combination of Orchid of Malevolence and Eul's Scepter of Divinity offers Queen of Pain a mix of offensive potential and utility. The Orchid provides her with a means to initiate and silence key enemies, while Eul's Scepter offers crowd control and defensive capabilities, allowing her to be more versatile in team fights and skirmishes.

However, this build might lack direct damage amplification or survivability against specific threats. Adjusting itemization based on the evolving dynamics of the match and the enemy team's composition is crucial to maximize Queen of Pain's impact and adaptability throughout the game.

Situational Build 2

This item build focuses on control and utility, aiming to provide Queen of Pain with offensive potential and increased crowd control capabilities.

Orchid of Malevolence stands as the primary offensive item, granting Queen of Pain mana regeneration, attack speed, and a potent silence effect. This silence is crucial, allowing her to disrupt enemy abilities, control engagements, and secure kills by preventing opponents from casting crucial spells.

Rod of Atos supplements this build by offering additional utility and control. It provides Queen of Pain with a significant amount of intelligence, health, and a powerful long-range slowing effect. This slow greatly aids her in controlling enemy movement, allowing her to land her abilities more effectively and kite opponents during engagements.

Combining Orchid of Malevolence with Rod of Atos grants Queen of Pain a blend of offensive capabilities and increased control. The Orchid empowers her to silence key targets and initiate fights, while the Rod of Atos provides her with the means to further control enemy movement and contribute more effectively in team fights.

However, this build might potentially lack certain attributes such as raw damage amplification or direct survivability against specific threats. Adaptations to itemization based on the evolving dynamics of the match and the enemy team's composition are essential to ensure Queen of Pain's effectiveness throughout the game.

Situational Build 3

This particular item build prioritizes the amplification and maximization of Queen of Pain's burst damage potential through the Dagon.

Dagon serves as the cornerstone of this strategy, providing instantaneous magical burst damage that increases in potency with each level. By aiming to max out Dagon's levels, Queen of Pain intensifies her ability to swiftly eliminate opponents. Combining this burst potential with her spell arsenal, she becomes a formidable threat, capable of swiftly dispatching squishy enemy heroes or finishing off low-health opponents with the escalating power of Dagon's active ability.

Supplementing Dagon in this build is Kaya, an item that enhances Queen of Pain's spell damage and mana efficiency. Kaya provides increased spell amplification and reduced mana costs, effectively augmenting the damage output of her spell arsenal and allowing for more frequent spell usage.

This build is laser-focused on maximizing Dagon's levels, prioritizing Queen of Pain's ability to dish out significant burst damage. However, while this approach may enable her to eliminate key targets swiftly, it comes with the potential risk of vulnerability if the enemy team can withstand or counter her initial burst. As always, adaptation in itemization based on the evolving dynamics of the match and the enemy team's composition remains crucial to ensure her continued impact throughout the game.

Situational Build 4

This item build centers around amplifying Queen of Pain's burst damage potential and increasing her physical attack strength.

Dagon contributes to this strategy by offering instantaneous magical burst damage that escalates in power with each level. By prioritizing Dagon, Queen of Pain significantly enhances her ability to swiftly eliminate foes, especially squishy heroes or opponents with lower health pools.

Witch Blade complements this build by providing additional agility, attack speed, and a slowing effect upon attacks. The item amplifies Queen of Pain's physical attack prowess, allowing her to deal increased damage with her attacks while also slowing down enemies, aiding in chasing down or kiting opponents during engagements.

Combining Dagon's burst potential with the physical amplification and slowing effect from Witch Blade, Queen of Pain becomes a versatile threat, capable of delivering substantial magical and physical damage while exerting control over her enemies' movements.

However, this build primarily focuses on augmenting Queen of Pain's offensive capabilities, potentially making her vulnerable in sustained engagements or against enemies who can withstand her initial burst. Adapting itemization based on the evolving dynamics of the match and the enemy team's composition remains vital to ensure her effectiveness throughout the game.

Friends, Foes, and Victim



Earthshaker's synergy with Queen of Pain lies in his capacity to initiate team fights effectively and control the battlefield, creating ideal scenarios for Queen of Pain to unleash her devastating area-of-effect damage. His Fissure ability provides a versatile tool for controlling and disrupting enemy movements, stunning foes, and dividing the battlefield. This disruption can isolate or trap opponents, setting the stage for Queen of Pain to capitalize on the chaos by landing her powerful AoE spells precisely where they will inflict the most damage.

Moreover, Earthshaker's ultimate, Echo Slam, presents a substantial AoE damage and stun effect, especially effective when multiple enemies are clustered together. When Earthshaker successfully lands a well-timed Echo Slam, it creates an opportunity for Queen of Pain to follow up with her high-damage spells, amplifying the impact of both heroes' abilities and potentially decimating the enemy team in the blink of an eye.

Their combined playstyles synergize excellently, as Earthshaker's crowd control abilities pave the way for Queen of Pain's burst damage potential. Their abilities complement each other, showcasing a harmony that enables them to coordinate devastating attacks in team fights. The disruption and control Earthshaker brings to engagements seamlessly align with Queen of Pain's need for chaos and controlled aggression, making them a formidable duo capable of turning team fights in their favor with their combined might.


Magnus and Queen of Pain form a dynamic pairing due to Magnus' skill set that perfectly complements Queen of Pain's burst damage and control. Magnus, with his ultimate ability Reverse Polarity (RP), serves as an exceptional initiator, drawing enemies together and setting the stage for Queen of Pain to unleash her devastating area-of-effect spells. The clustered enemies become prime targets for Queen of Pain to utilize her potent AoE abilities like Sonic Wave or Scream of Pain, maximizing their damage potential and impacting multiple foes at once.

Additionally, Magnus' Empower ability significantly boosts an ally's attack damage. When cast on Queen of Pain, it amplifies her right-click damage, supplementing her magical burst with increased physical damage. This becomes particularly potent in the later stages of the game when Queen of Pain's attacks, enhanced by Empower, can surprise enemies and become a significant threat in team fights, adding a new dimension to her damage potential.

Moreover, Magnus' crowd control capabilities through abilities like Skewer allow him to manipulate enemy positioning, either by pulling them into unfavorable positions or pushing them away from their team. This manipulation sets up ideal situations for Queen of Pain to land her spells effectively, disrupting enemy formations and creating chaos that she thrives in.

Their synergy lies in the ability to coordinate effectively during team fights. Magnus' initiation and crowd control pave the way for Queen of Pain to unleash her destructive spells, maximizing their impact and turning the tide of engagements in their favor. The combination of Magnus' setup and Queen of Pain's damage output creates a potent partnership, allowing them to synergize their abilities for devastating team fight potential and ensuring their effectiveness throughout the game.


Tidehunter and Queen of Pain form a potent duo with their combined abilities to control team fights and deal significant damage. Tidehunter's role as a tanky initiator complements Queen of Pain's burst damage and control, creating a synergistic partnership on the battlefield.

Tidehunter's ultimate, Ravage, stands as a game-changing ability that initiates team fights by stunning multiple enemies in a large area. This sets the stage for Queen of Pain to follow up with her high-damage area-of-effect spells. The combination of Tidehunter's crowd control and Queen of Pain's damage output becomes a devastating force, potentially crippling multiple enemies caught within the Ravage, allowing Queen of Pain to cast her abilities like Sonic Wave or Scream of Pain to maximum effect on disabled foes.

Furthermore, Tidehunter's durability and tankiness allow him to withstand considerable damage, drawing focus away from Queen of Pain during engagements. His ability to absorb damage and control the frontline grants Queen of Pain the freedom to position herself more strategically, enabling her to deal damage and control the battlefield without being the primary target of enemy attacks.

Their synergy in team fights revolves around Tidehunter's initiation potential and Queen of Pain's burst damage. When Tidehunter jumps into the fray with Ravage, it creates chaos among enemies, disrupting their positioning and setting them up perfectly for Queen of Pain's spell combos. The combination of Tidehunter's control and Queen of Pain's damage potential becomes a defining factor in team fights, potentially turning the tide of battles in their favor.

Overall, their partnership thrives on Tidehunter's ability to initiate and control team fights, allowing Queen of Pain to capitalize on disabled enemies and unleash her burst damage spells. Together, they form a formidable combination that excels in disrupting enemy teams and dealing substantial damage in crucial engagements.

Shadow Shaman

Shadow Shaman's synergy with Queen of Pain revolves around his crowd control abilities and disable potential, providing setup and control for Queen of Pain's burst damage, resulting in a formidable combination that excels in controlling and decimating enemy heroes.

Shadow Shaman's kit includes disables like Hex and Shackles, offering excellent lockdown capabilities. These abilities pin down enemy heroes, making them vulnerable targets for Queen of Pain's high-damage spells. Hex, with its instant disable, ensures a crucial window for Queen of Pain to unleash her combo, while Shackles provides a longer-duration disable, amplifying the time Queen of Pain has to deal damage.

Furthermore, Shadow Shaman's ultimate, Mass Serpent Ward, provides additional damage output during engagements. Placed strategically, these wards can complement Queen of Pain's burst damage, forcing enemies to deal with both the wards and her spells simultaneously, overwhelming them in team fights and skirmishes.

Their combined abilities create opportunities to take down enemy heroes quickly. Shadow Shaman's ability to control and disable opponents perfectly complements Queen of Pain's burst damage potential. The synergy lies in Shadow Shaman's ability to initiate with his disables, allowing Queen of Pain to follow up with her spells and maximize damage on disabled foes.

In summary, Shadow Shaman's crowd control and disable capabilities synergize exceptionally well with Queen of Pain's high burst damage. Their partnership provides significant control over enemy heroes, setting up opportunities for Queen of Pain to inflict massive damage, making them a lethal duo in team fights and gank attempts.


Lion's synergy with Queen of Pain stems from his crowd control abilities, strong disable, and burst damage potential, providing an excellent setup for Queen of Pain's burst damage and amplifying their combined killing potential on the battlefield.

Lion's abilities, such as Hex and Earth Spike, offer reliable and potent disables that can catch opponents off guard. His Hex provides a reliable instant disable, and Earth Spike offers both a stun and a bit of damage in a line. These abilities create windows of opportunity for Queen of Pain to capitalize on, allowing her to land her high-damage spells more effectively and secure kills on disabled enemies.

Additionally, Lion's ultimate ability, Finger of Death, is a powerful nuke that deals massive damage to a single target. When coordinated with Queen of Pain's abilities, especially her burst damage spells like Sonic Wave, the combined burst potential becomes overwhelming, capable of instantly eliminating enemy heroes or severely weakening them for follow-up attacks.

Furthermore, Lion's mana drain can help control enemy spellcasting, making it difficult for opponents to retaliate against Queen of Pain's onslaught of spells. The reduction in an enemy's mana pool can limit their ability to cast defensive or escape abilities, allowing Queen of Pain to secure kills more efficiently.

Their combined playstyle revolves around Lion's disables and burst damage, creating opportunities for Queen of Pain to follow up with her own devastating spells. The synergy between Lion's reliable disables and Queen of Pain's high-damage spells results in a lethal combination that excels in controlling and eliminating enemy heroes during engagements, making them a potent force in team fights and gank attempts.


Dazzle and Queen of Pain create a synergistic partnership due to Dazzle's healing, defensive capabilities, and ability to sustain Queen of Pain during engagements, enhancing her survivability and amplifying her effectiveness in fights.

Dazzle's toolkit includes healing abilities like Shadow Wave, providing burst healing to allies in close proximity. This ability allows Queen of Pain to stay aggressive in fights, knowing that she has a support who can provide instant healing when needed. Shadow Wave's AoE heal can keep Queen of Pain alive in skirmishes, enabling her to stay in the fray longer and deal damage without worrying excessively about her health.

Moreover, Dazzle's Shallow Grave ability grants a crucial moment of invulnerability, preventing an ally, including Queen of Pain, from dying for a few seconds. This skillful use of Shallow Grave can provide Queen of Pain with the time needed to cast her spells, turn fights around, or escape precarious situations, adding a layer of survivability that Queen of Pain greatly benefits from.

Additionally, Dazzle's ability to apply armor buffs through Weave can bolster Queen of Pain's defenses and the team's overall survivability in engagements. This armor enhancement not only benefits Queen of Pain's durability but also complements her aggressive playstyle, allowing her to stay longer in fights and deal more damage.

Their partnership lies in Dazzle's healing and defensive capabilities, ensuring Queen of Pain's sustainability and enabling her to be more aggressive in fights. Dazzle's abilities provide the necessary support and survivability that Queen of Pain needs to focus on dealing damage and controlling the battlefield effectively. Together, they form a resilient duo that can sustain through fights, turning engagements in their favor and ensuring Queen of Pain's impactful presence throughout battles.




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