All sources of Spell Lifesteal also apply to Pure Damage. Queen of Pain gains Spell Lifesteal that increases with proximity to her enemies. Lifesteal is at its maximum when the enemy is 300 units or closer to her and at its minimum when the enemy is 800 units or further from her.

Hurls a poisoned dagger which deals large initial damage, and then deals damage over time. The poisoned unit has its movement speed slowed for 16 seconds. An instance of damage is dealt every 3 seconds.

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

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

Creates a gigantic wave of sound in front of Queen of Pain, dealing heavy damage to all enemy units in its wake and pushing them back.