Malzahar Mid Lane is ranked A Tier and has a 53.60% win rate in LoL Patch 13.24. We've analyzed 39951 Malzahar Mid Lane games to compile our statistical Malzahar Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Rylai's Crystal Scepter, Archangel's Staff, Demonic Embrace, and Zhonya's Hourglass. For runes, the strongest choice is Sorcery (Primary) with Summon Aery (Keystone), and Inspiration (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Malzahar's Best Mid Lane matchups include Hwei, Kennen, and Malphite. Malzahar's Best Mid Lane counters are Singed, Nasus, and Sion.