How to win lane as Dr. Mundo against Karma · 52.36% win rate over 2,859 Emerald+ games · Updated 2026-07-27
| Stage | Favoured | Why |
|---|---|---|
| Level 1 | Karma | Karma's level 1 Q Inner Flame poke outranges your kit before Infected Bonesaw is online. |
| Level 2 | Even / skill | At level 2 it's a skill trade — her poke versus your farm, neither clearly ahead. |
| Level 3 | Dr. Mundo | Level 3 Q Infected Bonesaw lets you shove and out-sustain her mantra-gated poke. |
| Levels 4-5 | Dr. Mundo | Through 4-5 your regen answers her poke while her cooldowns keep it skill-based edges to you. |
| Level 6 | Even / skill | At 6 it's even-ish: you gain R but her shields and disengage blunt your all-in. |
| First item | Dr. Mundo | Item-one grievous plus HP lets you walk through her shields and cleaver her down. |
| Two+ items | Even / skill | Two items in it's skill-dependent — you're unkillable but her utility still swings fights. |
Karma edges level 1 with Q Inner Flame range, but by level 2 it's roughly even skill — she can poke but her mana and mantra cooldown limit how often, so respect the Mantra-Q burst and otherwise farm calmly without eating free harass.
The full Dr. Mundo vs Karma report continues with the mid-game plan, the late-game and teamfight plan, every power spike to play around, and the win conditions for both sides — plus cooldown tracking and the live enemy-jungle tracker inside the app.
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Playing the other side? Karma vs Dr. Mundo guide →
All Dr. Mundo top lane matchups →