Dota 2 Queen of Pain Guide – Builds, Abilities, Items and Strategy

The Screaming Queen of Pain Akasha is all about killing and dealing huge amounts of damage to the enemies. She is a very versatile and mobile hero due to her Blink, which means that this Succubus can be useful throughout the entire game.

Her Scream of Pain and her Sonic Wave deal huge damage in an area, while Shadow Strike gives her an easier laning and the ability to slow down enemies.

Pros and Cons

  • + Blink makes her very mobile
  • + Huge aoe burst damage
  • + Good solo laner
  • + Very versatile
  • – Fragile (although hard to kill because of Blink)
  • – Spells have a big mana cost and she has a relatively low manapool
  • – No disable skill

Dota 2 – Queen of Pain Abilities

Shadow Strike
Hurls a poisoned dagger which deals large initial damage, and then deals damage over time. The poisoned unit has its movement speed slowed for 15 seconds. An instance of damage is dealt every 3 seconds.

  • Movement Slow: 20%/30%/40%/50%
  • Damage over Time: 30/40/50/60
  • Strike Damage: 50/75/100/125
  • Cooldown: 20/16/12/8
  • Manacost: 80/100/120/140

Your harassing skill, it deals a lot of damage in the laning phase and it slows down enemies by a lot.

Short distance teleportation that allows Queen of Pain to move in and out of combat.

  • Range: 700/850/1000/1150
  • Cooldown: 12/10/8/6
  • Manacost: 60

QoP’s blink. Pretty simple and straightforward skill. With it you can quickly jump in fights and then escape out when things get tough.

Scream of Pain
The Queen of Pain lets loose a piercing scream around her, damaging nearby enemies.

  • Damage: 85/165/225/300
  • Cooldown: 7
  • Manacost: 110/120/130/140

The main nuke, it deals big damage to an area around Akasha and it has a pretty low cooldown so you can use it to farm once you have mana to support it.

Sonic Wave
Creates a gigantic wave of sound in front of Queen of Pain, dealing heavy damage to all enemy units in its wake.

  • Damage: 350/475/600 (350/530/725*)
  • Cooldown: 135 (100/70/40*)
  • Manacost: 250/360/500

*Aghanim Scepter values.

This is QoP’s ultimate. It deals massive amount of damage to everyone in a cone area right in front of the hero. The Scepter upgrade is pretty good too, it reduces the ultimate cooldown by even more than 1/3.

Dota 2 – Queen of Pain Skill Build

  1. Blink
  2. Shadow Strike
  3. Scream of Pain
  4. Scream of Pain
  5. Scream of Pain
  6. Sonic Wave
  7. Scream of Pain
  8. Blink
  9. Blink
  10. Blink
  11. Sonic Wave
  12. Shadow Strike
  13. Shadow Strike
  14. Shadow Strike
  15. Stats
  16. Sonic Wave

This is the standard Queen of Pain build. With this build you get the fastest amount of aoe damage at level 7, while still having one level in blink and one in strike. Although since QoP is a very versatile hero, other ways to skill her are pretty viable as well.

You can take a second level of Strike at 3, which allows you to keep your enemy with Shadow Strike permanently on to make them stay away from the creep wave, this is specially useful against melee and short ranged heroes. Another way to go is to skip Strike if you don’t need it to harass and get Blink maxed after Scream, which gives you a lot of mobility.

Furthermore, some players like to skip extra levels of Shadow Strike over Stats until later on because the damage increase isn’t that big. It’s not a really big deal but at level 4 you can cast it on various targets at the same time because the of the reduced cooldown.

Ultimate should be taken whenever possible because of the damage increase, however you can sometimes consider not taking it when you took an extra level of Shadow Strike and need the point in Scream.

Queen of Pain Recommended items

Starting: 2x Mantle of Intelligence, Branch, Branch,  Tango and Salve
These starting items will give you some nice stats to get some last hits as well as giving extra hp. You may want to get only one Mantle and save the gold to get a faster Bottle.

Boots Choice: 
Queen of Pain is probably the only hero in the entire game where every single Boot is viable as well as not getting any boots. Your Blink is already a very powerful skill that grants a lot of mobility and your slow allows you to always catch up to enemies so the  movement speed increase that is very important on almost every hero, becomes trivial for QoP. Even raw Boots of Speed are sometimes a good enough investiment and you can use your gold to other items.

Power Treads give you extra Attack Speed, as well as extra INT for stronger right clicks, while giving you the option to switch to STR to get a survival boost. Phase also offer +24 damage for only 900gold.

Tranquil Boots give you a lot of regen high regen and can easily be disassembled, as well as Arcane boots which give you a big mana boost.

Boots of Travel give you the ability to travel around the map a lot faster and you can get yourself in faster to where the low hp enemies are.

Core: Magic Wand, TP Scroll, (Optional: Bottle / Upgraded Boots / Null Talisman/ Point Booster)
Magic Wand will give some hp and mana and you should always carry a TP Scroll.

As for the optional items, Bottle is a really good choice since you can get easily get runes if you go mid lane. Null Talismans are the cheapest way to improve your damage, as well as some extra mana to cast your spells. A Point Booster offers you a lot for its price, cheap mana and hp, and you can upgrade it right away or get another item, it’s a good cost effective investment if you go for it.

Strong Extensions:  Aghanim Scepter, Scythe of Vyse, Linkens Sphere
I’ve already talked about how good QoP’s Scepter upgrade is. Scythe is one of the best items that QoP can get since it gives you a disable which you need to cancel TP’s and disable enemies with escape, as well as fixing your mana problems. it’s really expensive but because she can easily farm with Scream you can get it faster than other heroes.

Linkens Sphere is also viable in the early game because it fixes your mana problems, as well as giving you hp regen so you don’t need to go to the fountain and can keep on ganking. Most importantly, it gives you the spell block to prevent nasty single target spells that hurt QoP by a lot, spells such as Beastmaster’s Roar or Antimage’s Mana Void.

Luxuries: Eye of Skadi, Black King Bar, Veil of Discord, Ethereal Blade, Necronomicon, Shiva’s Guard, DPS Items (Orchid Malevolence/Mjolnir/Daedalus/Monkey King Bar/Butterfly/ Assault Cuirass/ Manta Style / Divine Rapier….)

Since QoP is a very versatile hero, she can make pretty good use of almost every item out there. It will all depend on the situation, the amount you can farm, the team compositions… Eye of Skadi can be used to greatily boost your survivability, as well as giving you a slow that stacks with Shadow Strike, making the enemies almost unable to move and attack. Black King Bar against teams with lots of disables.

Both Veil and EBlade boost your spell damage by a lot, Necronomicon mas you push real fast and allows you to see invisible heroes, Shiva will make you more resistant against right clicks while giving you an area slow.

QoP can also become a very powerful right clicker later on if you get DPS items. Blinking to the enemy back lines, screaming and waving to instantly kill the supports, and then having attack damage to fight the remaining heroes can be pretty powerful.

Queen of Pain Strategy Tips

As Qop, you can go to every lane, but preferably try to get a solo lane so that you can outlevel your enemies early on, so that your Screams become more effective. The most common way to go is the mid lane, since you can grab the runes and bottle them, but you can also go to a side lane since you can easily escape ganks with your Blink.

On the mid lane, Bottle is a really great item because you can scream the enemy creep wave that comes after X:30 (position yourself between the melee and ranged creeps and try to hit your enemy if possible), and then grab the rune faster with Blink while your opponent has to deal with your creeps on the tower. If you are against a single hero, you should use Strike on him and get a few hits to harass, it’s pretty simple and so effective that it makes Akasha a really strong laner.

By getting rune control, you can gank enemies a lot easier (as well as ensuring they don’t gank you with a rune you should’ve taken). QoP makes good use of every rune, Haste and Double Damage are particularly good to gank enemies. Invis runes are great to escape when being ganked, Illusions and Regeneration are great to harass your enemy on the lane.

Ganking is a big part of QoP’s gameplay, you should gank in the early game whenever possible to keep enemy carries from getting items and to keep low supports easy to kill later on the game. But at the same time you shouldn’t be suiciding to get kills, learn when to gank and if you feel that you can’t get a kill, getting some farm up is also a good option.

Some times you will want to play safe and not use Blink when you walk to fogged areas, saving it for a potential escape. Too many Akashas die when they blindly Blink into the enemy team

One of QoP’s strengths is fighting prolonged battles, you can walk up to enemies, Scream and Strike, and then Blink out if they turn on you, and you can do this again a few seconds after since her cooldowns are really low.