Grievous Wounds is dispelled by Sion's Glory in Death, resurrection effects, and death.This is especially important against Soraka, which can use Astral Infusion to out-sustain her enemies, even if her allies don't have sustain themselves. It is important to note that Grievous Wounds also affects healing from outside sources instead of just self-healing.Grievous Wounds is not effective against those champions (as the debuff usually doesn't last long enough for it to have effect on them) the most effective way to prevent them from healing is to force them to stay in combat. This includes Garen, Tahm Kench, and champions that build Warmog's Armor. On the other hand, some champions only have sustain when out of combat.This is important to notice especially in situations where technically there are no champions with natural sustain on the enemy team, but they may own or have sources of bonus effects that would grant them sustain. Grievous Wounds is also useful against them. Some can build viable items or take runes that give them sustain, such as Ravenous Hydra, Bloodthirster, Conqueror, or Legend: Bloodline. Grievous Wounds isn't only useful against champions with in-built sustain.Mundo, Fiora, Swain, Trundle, Vladimir, Warwick, or Zac. It can also weaken burst healing champions such as Aatrox, Dr. Grievous Wounds is generally used to limit or minimize the healing, omnivamp, or life steal of one enemy champion ability such as Darius' Decimate, Renekton's Cull the Meek or Sylas' Kingslayer.Grievous Wounds does not stack the duration of the debuff will overlap on separate effects and refresh on the same effect.A unit afflicted by Grievous Wounds has the icon to the right of them.Shields are a way of temporarily adding health to a champion that is not reduced by Grievous Wounds.
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