Dr Bian
Dr Bian: Damage from skills and Basic Attacks places up to 5 marks on enemies each stack dealing damage over time.
Build core
Rush Scepter of Reverberation, Boots of the Arcane, Savant's Wrath, then complete Insatiable Tome, Void Staff
Combo
Deadly Panacea → Fatal Diagnosis → Master of Life → weave basic attacks
Draft
Dr Bian excels into Mai Shiranui, Diaochan. Avoid blind picking into Yang Jian without team peel.
Best Build for Dr Bian
End-game item order with gold costs and slot notes. Purchase path may differ in-match.
Build philosophy
Dr Bian benefits from Magic attack, Cooldown reduction, Penetration — match items and runes to kit scaling.
Passive: Skill and Basic Attack hits place up to 5 marks on enemies, each stack dealing damage over time.
Arcana: Prioritize runes that boost Magic attack, Cooldown reduction, Penetration for this hero's passive and skill scaling.
4 presets — switch by draft, lane, or CN meta. Default matches Mid Lane when available.
| # | Item | Gold | Stats | Why |
|---|---|---|---|---|
| 1 |  Holy Grail | 2,020g | MATK +150, CDR +15%, HP +500 Rapid MP Regen | Fits Survivability priority — Passive - Fated — Increases HP by 4%. |
| 2 |  Scepter of Reverberation | 2,100g | MATK +210, MSPD +7.5% Skill hits explode | Fits Magic attack priority — Passive - Breakthrough — Grants 20–40 (+2% extra HP) Magical Attack, up to 100. |
| 3 |  Sage's Tome | 2,610g | MATK +350, CDR +10% Great for mages | Fits Cooldown reduction priority — Passive - Swift — Grants 50 Movement Speed. |
| 4 |  Mask of Agony | 2,080g | MATK +100, CDR +7.5%, HP +900 Boosts skill damage | Fits Magic attack priority — Passive - Enlightenment — Every 100 Magical Attack increases damage dealt by 0.5% and grants 0.5% damage reduction. |
| 5 |  Staves of Sorcery | 2,080g | MATK +180, HP +600, MSPD +7.5% Enhances BAs | Fits Magic attack priority — Passive - Mist Veil — Grants a shield that negates 400–800 (+7% extra HP) magical damage every 15s. |
| 6 |  Splendor | 2,080g | MATK +160, CDR +7.5%, Magical Lifesteal +12% Temp. invincibility | Fits Magic attack priority — Passive - Devastation — Magical Pierce +45% |
Best Arcana & Spells
| Slot | Choice | Effect |
|---|---|---|
| Primary | Saint | Recommended for Mage Mid Lane |
| Spell | Heal / Flash | Adjust Purify/Execute based on enemy dive. |
Skill Order
Skill 2 → Skill 1 → Master of Life (max Skill 2 first)
Max primary utility/damage skill first, then Deadly Panacea, and Master of Life on cooldown.
Combos
1. Standard trade
Deadly Panacea → Fatal Diagnosis → Master of Life → weave basic attacks
When: Mid Lane skirmish or objective fight
Abilities
Passive
Malicious Practice
Skill and Basic Attack hits place up to 5 marks on enemies, each stack dealing damage over time. His Skill 2 and Ultimate place up to 5 marks on himself and his teammates, each stack continually restoring Health over time.
Skill 1
Deadly Panacea
Throws a vial of deadly poison at the target location, dealing damage over time and slowing enemies within range. Can store up to 3 vials of poison.
Skill 2
Fatal Diagnosis
Throws a concoction in the target direction, dealing damage and marking enemies in its path. Heals himself and teammates in its path, while also applying marks.
Ultimate
Master of Life
Damages enemies within range and heals teammates. Every mark detonated will increase damage and healing. He recovers extra Health.
Counters & Matchups
Dr Bian is strong into
Pick Dr Bian when the enemy drafts these heroes.
Dr Bian struggles into
Avoid Dr Bian or ban these when they appear on the enemy team.
Playstyle & Ranked Tips
Laning Phase
Control first wave without taking free poke. Roam after pushing wave 2–4 to side lanes with your jungler.
Teamfight Role
Poke from max range before objective. Save hard CC for enemy dive or your carry peel window.
High Rank (Diamond+)
Dr Bian sits at Tier B globally (50.1% WR). In high rank, pick only into favorable matchups or when you have a dedicated pocket pick.
vs Similar Heroes
- Dr Bian vs Daji (Mage, Tier S+): Daji is 2.4% pick / 51.0% WR. Daji wins 0.9% more often globally. Choose Dr Bian when you need Mid Lane identity; choose Daji for Mid Lane comfort.
- Dr Bian vs Angela (Mage, Tier S+): Angela is 2.3% pick / 51.8% WR. Angela wins 1.7% more often globally. Choose Dr Bian when you need Mid Lane identity; choose Angela for Mid Lane comfort.
FAQ
What is the best Dr Bian build?
Recommended: Overlord's Platemail, Breakthrough Robe, Boots of Tranquility, Sage's Tome, Succubus Cloak, Void Staff.
How to counter Dr Bian?
Pick Yang Jian. Strong into Mai Shiranui, Diaochan.
Is Dr Bian good in current season?
Dr Bian is Tier B Mage with 49.93% win rate, 0.66% pick rate, and 0.11% ban rate (Camp HOK international).