Hitting a target with normal attack increases Sinestrea's normal attack range and attack speed (7%-14% increase based on the hero level). After 4 consecutive normal attacks, she enters ranged state. The cooldown of skills 1 and 2 are refreshed whenever she changes state.

After Sinestrea enters combat, the Recall button will be replaced by Blood Ritual.

Blood Ritual: Sinestrea reduces her current HP by 50% and after a short delay, deals 770 physical damage and stuns nearby enemies for 0.5s. She is untargetable during this time. She restores 10% of her max HP for each enemy hero hit.

In melee state, Sinestrea moves in the indicated direction and immediately enters sleep state. Her next normal attack becomes a lunge, dealing an additional 250 physical damage to the target and nearby units. If Sinestrea remains stationary for 2.5s, she will enter sleep state.

In ranged state, Sinestrea moves in the indicated direction and fires a blood arrow. The arrow deals the same amount of physical damage and knocks back the first enemy hero it hits. If there is a wall within 4m behind the target, the arrow binds the hero for 3s (they cannot leave the indicated area).

In melee state, Sinestrea swings her blade in a fan-shaped area in front of her, dealing 275 (+70% of AD) physical damage and stunning enemies for 0.5s.

In ranged state, she aims at all enemy units within range for a period of time. Once finished, she unleashes arrows at all the targeted units, dealing double physical damage.

Sinestrea immediately enters ranged form. During the ultimate, each normal attack fires 3 blood arrows, each dealing 55% damage. While active, gains 20% life steal, 30% movement speed bonus, and slow immunity.

In melee state, Sinestrea moves in the indicated direction and immediately enters sleep state. Her next normal attack becomes a lunge, dealing an additional 250 physical damage to the target and nearby units. If Sinestrea remains stationary for 2.5s, she will enter sleep state.

In ranged state, Sinestrea moves in the indicated direction and fires a blood arrow. The arrow deals the same amount of physical damage and knocks back the first enemy hero it hits. If there is a wall within 4m behind the target, the arrow binds the hero for 3s (they cannot leave the indicated area).

In melee state, Sinestrea swings her blade in a fan-shaped area in front of her, dealing 275 (+70% of AD) physical damage and stunning enemies for 0.5s.

In ranged state, she aims at all enemy units within range for a period of time. Once finished, she unleashes arrows at all the targeted units, dealing double physical damage.