Healing Rite is great for sustaining in lane.
Mystic Shot is the best harassing tool in the game as well.
Healbane is a great source of healing and 
Shiv can benefit the most from it due to his Culling Strike.
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This build was created by RinaVX. To find it in game, search for "Mobalytics - Bleed Shiv by RinaVX" (BuildID: 234242)
Shiv is a strong bruiser and a bully. Since his passive gives us built in tankiness we can take favorable trades and whittle down our opponents setting up easy kills with our ult. This build maximizes that play style by focusing on bleed damage.
Early Game Items
Healing Rite800 souls
Mystic Shot1,600 souls
Healbane1,600 souls
Improved Spirit1,600 souls
Spirit Sap1,600 souls
Torment Pulse3,200 souls
Extra Health800 souls
Mid Game Items
Spirit Sap and 
Torment Pulse are the items of choice in order to hit the new Spirit Investment.- An early
Extra Charge is good when Shiv obtains 5AP upgrade on 
Serrated Knives. 
Spirit Snatch is a very powerful item that gives a large form of damage and defenses.
Decay is mandatory in order to obtain and maintain Rage in fights.- If needed, more defensives can be bought in the form of
Reactive Barrier.
Extra Charge800 souls
Reactive Barrier1,600 souls
Spirit Snatch3,200 souls
Decay3,200 souls
Fortitude3,200 souls
Warp Stone3,200 souls
Late Game Items
Tankbuster / 
Surge of Power / 
Rapid Recharge is the core of this build and makes Shiv knives dangerous mini-nukes.
Ethereal Shift is a great defense to dodge large teamfighting spells like 
Lash's 
Death Slam or 
Paradoxical Swap.
Focus Lens6,400 souls
Rapid Recharge3,200 souls
Boundless Spirit6,400 souls
Superior Duration3,200 souls
Ethereal Shift6,400 souls
Leech6,400 souls
Situational Items
Witchmail will allow us to get more knives and dashes in play when Shiv takes spirit damage.
Infuser has a great synergy with Shiv’s dash and knives, leading to a quick burst of health. Make sure to pop it before dashing to get maximum benefit.
Spirit Burn will solve any healing reduction problems and give Shiv another form of burst and DoT damage to further his power.
Escalating Exposure6,400 souls
Witchmail6,400 souls
Tankbuster3,200 souls
Spirit Burn6,400 souls
Extra Regen800 souls
Restorative Shot800 souls
Debuff Reducer1,600 souls
Debuff Remover3,200 souls
Stamina Mastery3,200 souls
Veil Walker 6,400 souls
Ability Point Order
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Shiv Guide
Check out our Shiv Guide and Overview