Create a tether that drains enemy health over time and heals you. Target must be in line of sight and within max range to drain. You can shoot and use other abilities during the drain, but your move speed is reduced. Alternate cast to give health to friendly Heroes.
Sacrifice some of your health to launch blood shards that apply a stack of Malice. Each stack slows the victim and increases the damage they take from you. The slow effect decreases over time.
Swaps health levels with an enemy target. There is a minimum health percentage that enemies can be brought down to and a minimum amount of health received based on victims current health.
30%Enemy Min Health
30%Min Health Received
1-35s Cooldown
2On cast, +35% Fire Rate for {HealthSwapBuffDuration}s.
5Silence enemies within 25m for 3s
Balance history
May 2025 to Feb 2026
Buffs33in 13 patches
Nerfs46in 13 patches
Other changes10
Patches featuring changes20of 154 published patches
Create a tether that drains enemy health over time and heals you. Target must be in line of sight and within max range to drain. You can shoot and use other abilities during the drain, but your move speed is reduced. Alternate cast to give health to friendly Heroes.
Sacrifice some of your health to launch blood shards that apply a stack of Malice. Each stack slows the victim and increases the damage they take from you. The slow effect decreases over time.
Swaps health levels with an enemy target. There is a minimum health percentage that enemies can be brought down to and a minimum amount of health received based on victims current health.
30%Enemy Min Health
30%Min Health Received
1-35s Cooldown
2On cast, +35% Fire Rate for {HealthSwapBuffDuration}s.
5Silence enemies within 25m for 3s
Balance history
May 2025 to Feb 2026
Buffs33in 13 patches
Nerfs46in 13 patches
Other changes10
Patches featuring changes20of 154 published patches
Some media from this build has not been archived. Names, abilities and stats use this date’s game data.
Lady Geist
LifestealSelf DamageFatale
Malice
6s
Sacrifice some of your health to launch blood shards that apply a stack of Malice. Each stack slows the victim and increases the damage they take from you. The slow effect decreases over time.
23Damage
9%Health Cost
3Blood Shards
5Max Stacks
Effect Per Stack:
+8%Damage Amplification
15%Movement Slow
9sDebuff Duration
4sSlow Duration
1-3s Cooldown
2+25.2 Damage and +4 Blood Shards
5+7% Damage Amp
Balance history
May 2025 to Feb 2026
Buffs2in 2 patches
Nerfs6in 4 patches
Other changes4
Patches featuring changes6of 154 published patches
Some media from this build has not been archived. Names, abilities and stats use this date’s game data.
Lady Geist
LifestealSelf DamageFatale
Malice
6s
Sacrifice some of your health to launch blood shards that apply a stack of Malice. Each stack slows the victim and increases the damage they take from you. The slow effect decreases over time.
23Damage
9%Health Cost
3Blood Shards
5Max Stacks
Effect Per Stack:
+8%Damage Amplification
15%Movement Slow
9sDebuff Duration
4sSlow Duration
1-3s Cooldown
2+25.2 Damage and +4 Blood Shards
5+7% Damage Amp
Balance history
May 2025 to Feb 2026
Buffs2in 2 patches
Nerfs6in 4 patches
Other changes4
Patches featuring changes6of 154 published patches
90Damage
0.65sArming Duration
1-4s Cooldown
80%Damage to Heal
30mMax Tether Range
+8%Damage Amplification
15%Movement Slow
30%Enemy Min Health
