Matchup · November 6, 2026
Nurse Harrow vs Shiv
56.2%
Favoured74,252 matches
All Nurse Harrow matchups & countersUpdated · Patch Nov 4, 2026
Deadlock Bible take
How Nurse Harrow beats Shiv
Your game plan as Nurse Harrow
A battlefield medic who heals with her gun, starves enemy buffs with leeches and terrifies anyone who looks her in the eye.
Lane
Throw Leech Therapy on enemies that just used a buff. The leeches eat its duration while they deal damage, and every leech you collect feeds your other abilities.
Mid game
Load Healing Needles when an ally is low: your syringes heal teammates, and dealing damage earns the charges back. Wretched Vapors makes an ally faster and delays the damage they take, so heal them before the crash.
Late game
Lurking Terrors locks down anyone facing you: no stamina, no movement abilities, then fear. Open the bag where the enemy has to look at you, such as a chokepoint or a dive.
How to beat Shiv
A dirty fighter who bleeds you, defers his own damage and finishes you with an execute.
- 01Burst him during Bloodletting’s deferred damage window.
- 02Stay above execute range when Killing Blow is up.
- 03Anti-heal his sustain.
Respect
Punish
After Slice and Dice
Per match
Head-to-head
Nurse HarrowShiv
56.2%Win rate43.8%
0.62Kills per death1.07
+0Last-hit edge+2
+0.1Deny edge+0
+0Soul lead+1.2K
+0Objective damage edge+2.2K
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Laning
Win the lane: Nurse Harrow into Shiv
- 01Farm is close (-2 last hits per match), so trades decide this lane, not last hits.
- 02Shiv wants close range. Keep troopers between you, save stamina for a dash out, and punish them when they over-commit.
- 03Your own sustain (Healing Needles) wins extended lanes — stay longer than they can.
Skill order
Skill order for this matchup
60% win rate over 90,585 matches
Standard order works here.
Shiv’s kit
Threats
Serrated Knives
Slow16s cd
Nurse Harrow’s kit
Your tools
Wretched Vapors
Slow40s cd
Healing Needles
SlowSustain
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Mid & late game
Winning the fights after lane
- Nurse Harrow averages 0.62 kills per death against Shiv.
- Nurse Harrow finishes 1.2k souls behind Shiv on average — play for teamfights and scaling rather than lane kills.
- Nurse Harrow deals 2.2k less objective damage per match than Shiv — let teammates take structures while you hold.
- Track Killing Blow (145s cooldown). The window right after Shiv uses it is your best time to fight.
Also check
Who else beats Shiv
FAQ
Matchup questions
Who wins Nurse Harrow vs Shiv?
Nurse Harrow wins 56.2% of 74,252 recent matches against Shiv — favoured.
How do I beat Shiv as Nurse Harrow?
Farm is close (-2 last hits per match), so trades decide this lane, not last hits. Track Killing Blow (145s cooldown). The window right after Shiv uses it is your best time to fight.