New Effect: If the target heals for a total amount that is over 60% of their maximum health while continuously afflicted with Grievous Wounds, the strength of the healing reduction is increased to 80%.
Effects
Unique Passive · Grievous Wounds
Dealing physical damage to enemy champions inflicts them with Grievous Wounds for 3 seconds.
Patch history
26.1 · Jan 8, 2026
Total cost reduced to 3000 g from 3300 g.
Combine cost reduced to 150 g from 450 g.
Armor penetration reduced to 30% from 35%.
14.19
Total cost increased to 3200 g from 3000 g.
Combine cost increased to 350 g from 150 g.
Armor penetration reduced to 30% from 35%.
14.15
Attack damage reduced to 35 from 40.
14.10
Critical strike chance increased to 25% from 20%.
14.6
Armor penetration increased to 35% from 30%.
19 older patches
14.1
Unique passive renamed to Grievous Wounds from Sepsis.
No longer limits the user to 1 Last Whisper item.
Now limits the user to 1 Fatality item.
13.10
Attack damage increased to 40 from 35.
13.7
New Effect: Now applies Grievous Wounds even if the damage dealt was completely mitigated by a shield.
12.20
Total cost increased to 2600 g from 2500 g.
Combine cost increased to 750 g from 650 g.
Attack damage increased to 35 from 25.
Attack speed reduced to 20% from 25%.
12.11
Grievous Wounds strength reduced to 25% from 30%.
Enhanced Grievous Wounds strength reduced to 40% from 50%.
Number of basic attacks to trigger enhanced Grievous Wounds reduced to 2 from 3.
12.10
Grievous Wounds strength reduced to 30% from 40%.
Enhanced Grievous Wounds strength reduced to 50% from 60%.
11.8
New Effect: Is now called out in chat to notify when the item is purchased.
11.4
Attack damage increased to 25 from 20.
11.1
Grievous Wounds duration increased to 3 seconds from 2.
Unique Passive - Sepsis: Dealing physical damage to enemy champions inflicts them with 40% Grievous Wounds for 2 seconds. Attacking a champion 3 times within 2 seconds increases this effect to 60% until it ends.
Unique Passive - Executioner:Physical damage inflicts Grievous Wounds on enemy champions for 5 seconds.
Unique Passive - Last Whisper: +25% total armor penetration.
Now limited to 1 Last Whisper item.
Unique Passive - Sepsis:
New Effect: Dealing physical damage to enemy champions inflicts them with 40% Grievous Wounds for 3 seconds.
Old Effect: Dealing physical damage to enemy champions inflicts them with 25% Grievous Wounds for 3 seconds. Basic attacking a champion 2 times while they remain affected by Grievous Wounds increases their effect to 40%, and dealing physical damage to a target affected by 40% Grievous Wounds will refresh the empowered effect.
