I

Headshot Booster

Sell later

I

Extra Spirit

Rem has good spirit scaling, going this into boundless later is good

I

Extra Charge

Can sell later

II

Active

Guardian Ward

Amazing with your 2

III

Torment Pulse

Generally the most consistent item to get Rem to contribute some damage in the fights

II

Active

Cold Front

Pretty good slow and damage

III

Rapid Recharge

I don't love this item on Rem but it can be good if you're allowed to spam pillows

I

Monster Rounds

Very good if you are pushing tower. Sell later

I

Active

Rusted Barrel

Very good against heroes that shoot their gun

I

Active

Healing Rite

Buy whenever you or your teammate are very low

II

Active

Slowing Hex

Good vs Mina, Lash, Shiv, etc.

I

Imbue

Mystic Expansion

Mandatory on Ult

II

Imbue

Compress Cooldown

Cooldown is helpful, can skip if you feel like you need other items earlier

III

Active

Healing Nova

Generally the most consistent team healing option. Rescue beam is a decent alternative. Healing Nova doesn't heal you in your 2 tho.

II

Imbue

Duration Extender

Duration on 2 for longer heals and also longer time napping for torment pulse damage

III

Greater Expansion

Works on basically everything, including your torment pulse and stacks with your 2 for insane range

III

Stamina Mastery

Best item to help you survive (you are just a lil chud)

II

Healing Booster

It works properly now so it's good

III

Superior Cooldown

Cooldown to let you use all your abilities more often

III

Superior Duration

Good on everything including items, sleep, 2 heal, etc.

III

Active

Rescue Beam

Alternative to Healing Nova if you need it

IV

Active

Arctic Blast

Very good for damage especially if you have a Billy/Abrams/Yamato etc. who want to go in, this helps them. Use it while napping.

IV

Boundless Spirit

Probably buy most games. This double dips into the max Tag Along AP which gives essentially a 2nd boundless spirit, this hero can get 250+ spirit power.

IV

Spirit Burn

More damage and anti-heal, only get after you have other 6.4k spirit items.

IV

Active

Scourge

Good if you need to help your tanks and spirit resist is good

IV

Active

Divine Barrier

Amazing item with your 2, use it while napping if you can

IV

Imbue

Active

Echo Shard

Having 2 tag alongs in 1 fight is incredibly helpful for big heals but also so you don't instadie

IV

Healing Tempo

Not sold on this item but a decent option

IV

Transcendent Cooldown

Very solid with the amount of actives

IV

Active

Vortex Web

Good for setting up potential ults, pillows, or helping your team

IV

Active

Cursed Relic

Good if they have specific heroes or 1 hero with a lot of money

IV

Active

Focus Lens

Good if they don't have Dispel Magic

II

Healbane

Great if you need anti-heal

II

Mystic Vulnerability

Good if you have slots and your team does a lot of spirit damage

II

Suppressor

Good against gun heroes

II

Bullet Resist Shredder

Good if you have slots and your team does a lot of gun damage

III

Active

Knockdown

Good vs flyers, seven, etc.

III

Active

Disarming Hex

Good vs gun heroes

III

Active

Decay

Good vs tanky/heal dependent heroes (Abrams, Mo, etc.)

III

Active

Silence Wave

Good vs spell dependent heroes (Pocket, Yamato, Mina, etc.)

III

Active

Alchemical Fire

Good for objectives and big teamfights

III

Active

Heroic Aura

Good if the enemy team has a lot of gun damage

III

Hunter's Aura

Good if you need to amp your allies' gun damage against single targets