Thresh Top Lane is ranked Off Meta Tier and has a 33.33% win rate in LoL Patch 7.24. We've analyzed 51 Thresh Top Lane games to compile our statistical Thresh Build Guide. For items, our build recommends: Ninja Tabi, Statikk Shiv, The Black Cleaver, Duskblade of Draktharr, Blade of the Ruined King, and Infinity Edge. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and <pathBonus><pathDomination>Domination</pathDomination> + <pathResolve>Resolve</pathResolve> </pathBonus> (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Health Potion, Doran's Blade, Doran's Shield, Long Sword, and Warding Totem (Trinket). Thresh's Best Top Lane matchups include Camille and Jayce. Thresh's Best Top Lane counters are Yasuo, Riven, and Gangplank.
Thresh Summoner Spells





Thresh Starting Items





Thresh Runes
Thresh Items








Thresh Skill Order
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![]() | R | R | R |
Thresh Trinkets




Thresh Boots





