Dota Queen of Pain: Strategies, Builds, and Stats

Jun 5, 2024 | 0 comments


Queen of Pain, also known as Akasha, is a prominent hero in Dota 2 known for her burst damage, mobility, and crowd control abilities. This guide covers everything you need to know about playing Queen of Pain effectively, from her lore and abilities to strategies, item builds, and counterplay. Learn how to play Dota Queen of Pain with this ultimate guide. Master her abilities, item builds, and strategies for dominating the game.

Lore and Bio

Akasha, the Queen of Pain, was summoned by the Ecclesiast-King of Elze to satisfy his forbidden desires for pain. As a demon bound to his service, she inflicted exquisite torment on him, earning the title of his Secret Queen. However, her freedom was secured when the king was overthrown, allowing her to roam freely and inflict suffering on anyone who dared to cross her path.

Abilities and Talents

Shadow Strike

Shadow Strike hurls a poisoned dagger at a target, dealing initial damage and applying a damage-over-time effect. The target’s movement speed is also slowed, making it easier to harass enemies in lane or secure kills.

  • Mana Cost: 110/120/130/140
  • Cooldown: 16/12/8/4 seconds
  • Cast Range: 450/500/550/600
  • Duration: 15 seconds

Blink allows Queen of Pain to teleport a short distance, providing exceptional mobility for initiating fights, escaping danger, or chasing down fleeing enemies.

  • Mana Cost: 60
  • Cooldown: 12/10/8/6 seconds
  • Cast Range: 1300

Scream of Pain

Scream of Pain releases a piercing scream, dealing damage to all nearby enemies. This ability is great for farming and team fights due to its area of effect.

  • Mana Cost: 85/105/125/145
  • Cooldown: 7 seconds
  • Radius: 475

Sonic Wave

Sonic Wave creates a massive wave of sound in front of Queen of Pain, dealing heavy damage and pushing all enemies hit. This ultimate ability can turn the tide of a fight with its high burst damage.

  • Mana Cost: 250/360/500
  • Cooldown: 125/110/95 seconds
  • Cast Range: 700
  • Damage: 320/440/600

Attribute and Stats

  • Health: 560 at level 1, 2220 at level 30
  • Mana: 375 at level 1, 1719 at level 30
  • Armor: 3.67 at level 1, 18.08 at level 30
  • Damage: 49-55 at level 1, 161-167 at level 30
  • Attack Range: 550
  • Movement Speed: 290
  • Turn Rate: 0.6

Skill Build Guide

Start with Shadow Strike to harass opponents in lane. Maximize Scream of Pain for efficient farming and damage output. Blink should be leveled to reduce its cooldown and increase mobility. Sonic Wave should be taken whenever available.

Item Build Guide

Early Game

Magic Wand: Provides burst regen that can be crucial in tight situations.

Bottle: Essential for sustaining health and mana. Control runes to keep it filled.

Infused Raindrops: Helps mitigate magical harassment and provides additional mana regen.

Mid Game

Power Treads: Offers attack speed and the ability to switch attributes for survivability and efficiency.

Orchid Malevolence: Adds silence to your toolkit, making it harder for enemies to counter your burst damage.

Linken’s Sphere: Provides spell block, attributes, and regen, making it easier to survive and escape.

Late Game

Shiva’s Guard: Increases armor and mana pool, adding a slow effect with Arctic Blast.

Bloodthorn: Upgraded from Orchid, provides critical hits and true sight on enemies.

Assault Cuirass: Boosts armor for you and your team, aiding in pushing and surviving team fights.

Effective Play Strategies

Early Game (0:00 – 12:00)

Queen of Pain excels in the mid lane, where she can dominate most matchups with her superior harass and mobility. Use Shadow Strike to control the lane and secure runes with Blink. A well-timed rotation to the side lanes with a rune can often result in easy kills.

Mid Game (12:00 – 25:00)

This is where Queen of Pain shines the most. Use your high mobility and burst damage to join fights and pick off key targets. Maintain rune control to keep your Bottle filled and stay active on the map. Your goal is to snowball by constantly applying pressure and securing kills.

Late Game (25:00 – 75:00)

In the late game, your role shifts slightly. While your abilities still deal significant damage, you need to be more cautious due to enemy items like Black King Bar. Focus on positioning well in fights, using Sonic Wave to hit multiple targets, and assisting your carries. Transition to right-click damage with items like Bloodthorn and Assault Cuirass to remain relevant.

Counterplay and Allies


Anti-Mage: His Mana Void punishes Queen of Pain’s high mana pool, and Blink allows him to keep up with her mobility.

Nyx Assassin: Can reflect Sonic Wave with Spiked Carapace and burst her down with his combo.

Silencer: Prevents her from using abilities, significantly reducing her effectiveness in fights.


Axe: Initiates fights and creates chaos, allowing Queen of Pain to follow up with her burst damage.

Dark Seer: Vacuum into Sonic Wave can devastate enemy teams, and Surge helps her escape or chase.

Enigma: Black Hole sets up perfect Sonic Waves, enabling huge team fight potential.

Timing Your Engagements

Knowing when to engage or retreat is vital for Queen of Pain. Her mobility allows her to jump into fights, deal damage, and escape before the enemy can react. However, it is essential to pick the right moments to strike. Overextending can lead to quick deaths, especially against heroes with crowd control abilities.

For example, if you notice that key enemy abilities are on cooldown, it’s a prime opportunity to initiate a fight. Use Blink to position yourself for maximum impact, hitting multiple enemies with Scream of Pain and Sonic Wave. If the situation turns unfavorable, Blink can also be used defensively to retreat to safety.

During team fights, focus on staying at the edge of the battle, darting in and out to deal damage. Target squishy backline heroes like supports or mages, as they are more vulnerable to your burst damage. By continuously applying pressure and picking off key targets, you can turn the tide in favor of your team.

Practicing and Refining Strategies

Practice is essential for mastering Queen of Pain. Each game provides new challenges and learning opportunities. Pay attention to your positioning, ability usage, and item timings. Watch replays of professional players to understand how they maximize Queen of Pain’s potential in different situations.

Refining your strategies involves adapting to the flow of the game. If the enemy team is heavily targeting you, consider building defensive items like Black King Bar. Communicate with your team to coordinate ganks and team fights, ensuring you always have backup when diving into dangerous situations.

By consistently practicing and adapting your strategies, you can become a formidable Queen of Pain player, capable of carrying your team to victory. Her high skill ceiling makes her a rewarding hero to master, offering immense satisfaction when you outplay your opponents with swift, calculated moves.

Dota Queen of Pain: Conclusion

Queen of Pain is a versatile and powerful hero in Dota 2, capable of dominating games with her burst damage and mobility. By mastering her abilities, understanding the optimal item builds, and knowing when to engage or retreat, you can make a significant impact in your matches. Keep practicing and refining your strategies to become a formidable Queen of Pain player.


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