Nasus Top Lane is ranked A Tier and has a 51.02% win rate in LoL Patch 13.24. We've analyzed 53879 Nasus Top Lane games to compile our statistical Nasus Build Guide. For items, our build recommends: Ionian Boots of Lucidity, Divine Sunderer, Frozen Heart, Hullbreaker, Spirit Visage, and Thornmail. For runes, the strongest choice is Precision (Primary) with Fleet Footwork (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Teleport and Ghost. Starting items should include Doran's Shield, Health Potion, and Stealth Ward. Nasus's Best Top Lane matchups include Jayce, Naafiri, and Shyvana. Nasus's Best Top Lane counters are Akshan, Maokai, and Olaf.