Her Q CD is already the fastest aside from Whitemane. It’s just not healing enough in today’s meta. The problem as in most things in the game balance wise, power creep left her behind over time. There’s way more CC, everyone’s AOE generally got better, which means more people require more AOE healing, and hers did not improve, while other healers who lack AOE generally did. Characters also move 10% faster. Her heal output in general is just bad unless you’re always piercing which isn’t realistic.
An easy fix would be to just buff her Q to at least bring her in line with the one thing she should be good at, which is healing. That would alleviate the issue where it just feels like her Qs aren’t coming in fast enough. That would be a simple change that is realistic in maintenance mode. Though I’m really surprised they haven’t touched her after the LiLi, Nova, Medivh changes.
But what Sami says is kind of true, her trait is just a weird part of her kit, and would ideally require a deeper rework. For me, it’s not so much the shrike though, that can just be a bonus to get some self heals. With some changes, a more aggressive playstyle could work though, and it has in the past in different metas.
My issue is more aim down sights, which has a movement speed penalty that caps your skill ceiling. Not only does it make lining up shots harder, but it’s extremely prohibitive for falling back, because then your allies just run behind you which is a disaster for her heal output and leaves you vulnerable. This basically means you have to almost always have forward momentum which means you by default just are so much better than the other team for Ana to do well.
That being said they can buff shrike/vampiric a little.
Think some changes:
-Buff Q slightly
-Make her heal 10% wider to slightly decrease her skill floor.
-Reduce aim down sight CD, and have a stacking buff on Q to reduce its movement speed penalty.
-Allow aim down sight to increase AA range by .5.
-Change vampiric to make stacking quest dings after 5 doses on combination of any target. Add questing tiers, so if you complete X amount of stacks, you get .5 range bonus and 25% range on Q and E without having to be in aim down sights.
-16 TIER:
- Remove Speed Serum, bake the functionality into Anti Healer (but still requiring Q after grenade).
- Change Smelling Salts to an active on a medium CD that gives you a separate grenade CD clears stuns and gives armor if cleared, but ALSO gives you 25% run speed for 2 seconds. If you get stunned during this duration you also get 50% armor.
-Her 20’s could also be a bit more varied.
She actually performs slightly better in ARAM because of the nature of the map where it’s just one direction where your allies are on one side and enemies are on the other which sort of just naturally aligns to the advantages of her pierce healing. But because she’s weak overall, she’s still one of the worse performing healers.