Akshan Top Lane is ranked B Tier and has a 54.50% win rate in LoL Patch 13.23. We've analyzed 25772 Akshan Top Lane games to compile our statistical Akshan Build Guide. For items, our build recommends: Berserker's Greaves, Kraken Slayer, Blade of The Ruined King, The Collector, Guinsoo's Rageblade, and Wit's End. For runes, the strongest choice is Precision (Primary) with Press the Attack (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Doran's Blade, Health Potion, and Stealth Ward. Akshan's Best Top Lane matchups include Skarner, Gangplank, and Fiora. Akshan's Best Top Lane counters are Wukong, Shyvana, and Nasus.