Kog'Maw Top Lane is ranked Off Meta Tier and has a 52.92% win rate in LoL Patch 13.23. We've analyzed 1028 Kog'Maw Top Lane games to compile our statistical Kog'Maw Build Guide. For items, our build recommends: Berserker's Greaves, Blade of The Ruined King, Guinsoo's Rageblade, Wit's End, Kraken Slayer, and Runaan's Hurricane. For runes, the strongest choice is Precision (Primary) with Lethal Tempo (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Flash and Ghost. Starting items should include Doran's Blade, Health Potion, and Stealth Ward. Kog'Maw's Best Top Lane matchups include Warwick, Illaoi, and Quinn. Kog'Maw's Best Top Lane counters are Gwen, Urgot, and Tahm Kench.