Anivia Support is ranked D Tier and has a 50.88% win rate in LoL Patch 13.23. We've analyzed 14281 Anivia Support games to compile our statistical Anivia Build Guide. For items, our build recommends: Sorcerer's Shoes, Liandry's Anguish, Archangel's Staff, Zhonya's Hourglass, Shard of True Ice, and Morellonomicon. For runes, the strongest choice is Domination (Primary) with Electrocute (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Spellthief's Edge, Health Potion, and Stealth Ward. Anivia's Best Support matchups include Zoe, Shaco, and Neeko. Anivia's Best Support counters are Galio, Amumu, and Zac.