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Hero Siege Builds

Hero Siege Surgical Bloodletting Plague Doctor Build - Season 9

Explore a sourced Season 9 Plague Doctor build with equipment variants, skills, gameplay notes and creator attribution for practical comparison.

8/26/2026 Season 9 Hero Siege Wiki Team Last updated: 8/26/2026 1 min read
A source-derived Hero Siege Plague Doctor build cover featuring its class crest and equipped item sprites
Image credit: Hero Siege assets via HSGuides
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Build dossier

Surgical Bloodletting Plague Doctor

Plague Doctor

  • Season 9
  • Physical
  • Melee · All-Rounder
  • Advanced

Source build variants

  1. Level 100 01
    Main Build

    32 linked items · 400 STR

Attribute plan

Main Build

400 STR

Level 100

What feels good

  • High HP
  • Fast MS and good terrain jumping
  • Cheap to progress early

What to watch

  • Need a piercing source
  • Bad at ST dmg

For broader mechanics and progression context, read the Plague Doctor class guide before choosing a source build snapshot.

How should you use this source snapshot?

This is clearly labeled historical-season material. Use it to understand the documented route, mechanics and equipment relationships, then verify every balance-sensitive number and recommendation against the current game before investing resources.

What does this source build cover?

This is a completed guide for Plague Doctor's Surgical Bloodletting, including skill tree, incarnation tree, items,... If you want to ask something about the guide, or just want to give some advices, feel free to ping @pandora_is_my_name or @latou in HS Discord server Contributor: Pandora, latou

This build focuses on Surgical Bloodletting, a melee physical skill that creates orbiting knives with subskill tree. The main idea is using the "Unarmed Wargod" node from incarnation tree (HLv19 required) and items that stack Attack Damage to further increase the hand's weapon damage.

How is this build divided into variants?

Variant Level Attributes Linked items
Main Build Active source variant 100 400 STR 32

How does the source recommend playing it?

The gameplay is very simple: use Molten Paw swap, and spam Surgical. Randy is needed to activate once per 15s, and Defunct Surgeon is optional.

Which equipment does each variant use?

Main Build 32 Open equipment snapshot

What does the source FAQ clarify?

Q: How can I get piercing affix? Is it mandatory or I can play without it? A: Some items have piercing affix, such as Commander's Sash, Archer's Story, Reverse Card. Divine Piercing augment can be used if you don't want to play with piercing items and don't have Reverse Card yet. Piercing is mandatory in this build, you can't play without it.

Q: I really want to play Surgical Bloodletting, but I'm not at HLv 19 yet. Is there a weapon I can use until I can rush Unarmed Wargod? (outdated) A: Eden's Harvester, Glowstick Estoc, Vorpal Sharktooth,... are my recommendation

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