Milio Top Lane is ranked Off Meta Tier and has a 39.19% win rate in LoL Patch 13.23. We've analyzed 340 Milio Top Lane games to compile our statistical Milio Build Guide. For items, our build recommends: Ionian Boots of Lucidity, Liandry's Anguish, Nashor's Tooth, Ardent Censer, Archangel's Staff, and Cosmic Drive. For runes, the strongest choice is Sorcery (Primary) with Summon Aery (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Milio's Best Top Lane matchups include Dr. Mundo, Malphite, and Nasus. Milio's Best Top Lane counters are Garen, Camille, and Sett.