Aatrox ADC is ranked Off Meta Tier and has a 41.17% win rate in LoL Patch 13.23. We've analyzed 2103 Aatrox ADC games to compile our statistical Aatrox Build Guide. For items, our build recommends: Plated Steelcaps, Duskblade of Draktharr, Serylda's Grudge, Black Cleaver, Spear of Shojin, and Death's Dance. For runes, the strongest choice is Precision (Primary) with Conqueror (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Doran's Shield, Health Potion, and Stealth Ward. Aatrox's Best ADC matchups include Veigar, Zeri, and Yasuo. Aatrox's Best ADC counters are Tahm Kench, Swain, and Kalista.