Fizz Top Lane is ranked Off Meta Tier and has a 53.95% win rate in LoL Patch 13.23. We've analyzed 5111 Fizz Top Lane games to compile our statistical Fizz Build Guide. For items, our build recommends: Sorcerer's Shoes, Luden's Tempest, Lich Bane, Zhonya's Hourglass, Rabadon's Deathcap, and Void Staff. 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 Top Lane matchups include Cassiopeia, Wukong, and Zac. Fizz's Best Top Lane counters are Poppy, Kled, and Ryze.