Healing, lifesteal and grievous wounds (antiheal) in LoL
Healing wins long fights: whoever’s still standing when the other runs out of health wins. That’s why a single "grievous wounds" item can flip a fight. Here you see where healing comes from and how much antiheal eats it.
Where healing comes from: lifesteal, omnivamp and abilities
There are three main sources of self-healing. Lifesteal heals you a percentage of your auto-attack damage (the classic marksman/fighter stat). Omnivamp heals you a percentage of all your damage: autos, abilities and pets. And many abilities heal directly (Soraka’s W, Aatrox’s passive, Vladimir’s drain).
All three share one weakness: they depend on continuing to deal damage. If your damage is stopped — by crowd control or by being killed fast — the healing cuts itself off. That’s why sustain shines in long fights and against targets that don’t delete you in one combo.
In the site’s engine, lifesteal and omnivamp are valued as sustain within the build score: they give you effective health in a fight, not on the bar. See how each stat weighs in gold efficiency and build your sustain in the Build Lab.
Grievous wounds: antiheal cuts 40%
Grievous wounds is a debuff that reduces all healing and health regeneration the target receives. The standard value is 40%: out of 300 healing, the enemy only gets 180. The chart shows it at a glance.
Three details most people miss: they don’t stack (two grievous-wounds sources don’t add up, the strongest applies), they don’t affect shields (a shield protects you the same) and they apply while the debuff is active. Some items hit harder: Morellonomicon reaches 80% if the enemy heals a lot, and Mortal Reminder rises to 60% if the target tries to heal while afflicted.
So against a high-healing team (Soraka, Vladimir, Aatrox, Dr. Mundo, lifesteal builds), a single antiheal item changes the fight more than any other situational buy. There are physical ones (Mortal Reminder, Executioner’s Calling, Chempunk Chainsword) and magic ones (Oblivion Orb → Morellonomicon), plus tank options (Thornmail). The damage you take still depends on your resistances and your health.
curación recibida = curación × (1 − reducción) Out of 300 healing, what you actually receive by the reduction applied. "Grievous wounds" cut healing by 40% (the standard antiheal from items like Mortal Reminder or Executioner’s Calling). Morellonomicon can reach 80% if the enemy heals a lot, and Chempunk 50% with the target low on health. They don’t stack with each other, nor affect shields.
When and who buys antiheal
Simple rule: if the enemy heals enough to undo your damage, someone on your team needs antiheal — and the sooner the better. Don’t wait for a full build: the cheap component (Executioner’s Calling, Oblivion Orb) already applies 40% and often that’s enough to win the lane.
Who buys it depends on damage: physical dealers get the AD ones, magic dealers the AP ones, and a tank can run Thornmail to apply it on being hit. Ideally it’s carried by whoever hits the healing target most, to keep the debuff up the whole fight.
Since they don’t stack, three people don’t need to buy it: one or two applying it consistently is enough. Test the real impact of your damage with and without enemy healing in Versus, and check which antiheal item fits your build in the item database.
You don’t need the full item: the cheap component already applies 40%. Pick by your damage type. Tap any to see its page and gold efficiency.
FAQ
How much do grievous wounds reduce healing?
The standard is 40%: out of 300 healing, the target receives 180. Morellonomicon can reach 80% if the enemy heals a lot, and Mortal Reminder 60% if the target tries to heal while afflicted. They don’t stack with each other, nor reduce shields.
Do grievous wounds affect shields?
No. Grievous wounds only reduce healing and health regeneration; shields work at 100%. To negate shields you have to break them with damage, not antiheal.
Are lifesteal and omnivamp the same?
No. Lifesteal heals only from auto-attacks; omnivamp heals from all your damage (autos, abilities and pets), usually at a lower percentage. Grievous wounds cut both equally.