Malzahar Support is ranked Off Meta Tier and has a 43.82% win rate in LoL Patch 13.23. We've analyzed 4041 Malzahar Support games to compile our statistical Malzahar Build Guide. For items, our build recommends: Sorcerer's Shoes, Liandry's Anguish, Rylai's Crystal Scepter, Demonic Embrace, Shard of True Ice, and Morellonomicon. 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 Ignite. Starting items should include Spellthief's Edge, Health Potion, and Stealth Ward. Malzahar's Best Support matchups include Shen, Pantheon, and Tahm Kench. Malzahar's Best Support counters are Twitch, Amumu, and Zilean.