Elise Support is ranked Off Meta Tier and has a 53.00% win rate in LoL Patch 13.23. We've analyzed 3507 Elise Support games to compile our statistical Elise Build Guide. For items, our build recommends: Sorcerer's Shoes, Night Harvester, Mejai's Soulstealer, Shadowflame, Zhonya's Hourglass, and Shard of True Ice. For runes, the strongest choice is Domination (Primary) with Electrocute (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Spellthief's Edge, Health Potion, and Stealth Ward. Elise's Best Support matchups include Pantheon, Neeko, and Tahm Kench. Elise's Best Support counters are Zac, Zilean, and Maokai.