They generally don't max it first, but they play it right they can make him hard to approach since he is maxing out death pulse, particularly if he has a solo lane. Usually the issue when playing against it is that you don't have infinite Regen.As a lower MMR player, Heartstopper makes me laugh.
Like when we play against a Necro who goes HS first, my carry would be so scared to fight him. I'm like "Yo he's weak and only has aura, pop a tango and smack him in the face"
For some reason people just can't math in my bracket when Necro shows up.
The heart attack...