One of the trickiest aspects of stukov is that he probably changes the most compared to all other healers. From what I’ve how he gets played, it’s not uncommon to either see:
- players not pick the talents that support how they want to play him,
- they get too caught up in his offensive potential that they neglect healing their allies
- they wait until allies are taking damage to then try to spread healing pathogen and try to catch up when it’s then too late.
Since pathogen is a heal over time effect, it can be spread almost continually and be up and ready for bio-kill burst once it’s needed rather than trying to do the ‘catch up’ thing,
The ‘easy’ mode build for Stukov is Spine Launcher, Once Good Spread, Growing Infestation, Hungers/Spines and then Superstrain.
Having the ranged attack allows stukov to constantly stutter step and move around the battlefield, so he spreads pathogen. With the cdr talent at 4, he wants to always get it to at least 2 other allies (himself for 3rd bounce) so Pathogen is always up and even has a burst proc on root/stun come later game. The chosen E talents are to apply some pressure, but otherwise prevent stukov from just channeling too long and missing chances to keep spreading pathogen or hitting enemies with basic attacks.
W build is a burst variation on that that builds around Targeting Excision instead. If one enemy is afflicted with a Weighted Pustule when kill-switch is used, that then triggers cdr for his bio-kill switch and basic abilities. With the W quest removing the mana cost, that becomes a substitute for ranged spines and stukov can almost always have 1 target hit with a weight pustul (unless they group too closely) which ties in well with the lurking arm + root combo so you build around turning some aggression into opportunistic healing.
I do prefer to pair that set up with the block talent at 4 and Pox populi at 16 so the bio-kill adds armor to allies, and then the armor lingers longer.
Overall, he is probably my least played healer, so I tend to play more defensive than not, but I have seen some really solid aggressive stukov’s and those I think are the envy of most healers. Having the ability to peel for backline allies while also have some wombo/combo potential is pretty much living the dream for teamside contribution.
Being somewhat reliant on allies to spread pathogen (esp when it can be too dangerous to approach in person) is frustrating, and some cite his later game talents as being pretty lackluster, but I think that that’s understable given he’s a lot like Maiev and his basekit is threatening enough he doesn’t need huge powerspikes so long as the other talents are actually used correctly and he doesn’t spend too much time sitting in E channel.