Alistar ADC is ranked Off Meta Tier and has a 44.02% win rate in LoL Patch 13.23. We've analyzed 810 Alistar ADC games to compile our statistical Alistar Build Guide. For items, our build recommends: Ionian Boots of Lucidity, Sunfire Aegis, Radiant Virtue, Shadowflame, Winter's Approach, and Thornmail. For runes, the strongest choice is Resolve (Primary) with Aftershock (Keystone), and Inspiration (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Alistar's Best ADC matchups include Seraphine, Veigar, and Sivir. Alistar's Best ADC counters are Ashe, Kalista, and Zeri.