Fizz ADC is ranked Off Meta Tier and has a 53.71% win rate in LoL Patch 13.23. We've analyzed 2497 Fizz ADC games to compile our statistical Fizz Build Guide. For items, our build recommends: Sorcerer's Shoes, Luden's Tempest, Mejai's Soulstealer, Lich Bane, Zhonya's Hourglass, and Rabadon's Deathcap. 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 Doran's Ring, Health Potion, and Stealth Ward. Fizz's Best ADC matchups include Seraphine, Swain, and Ziggs. Fizz's Best ADC counters are Nilah, Miss Fortune, and Kog'Maw.