Nasus Mid Lane is ranked B Tier and has a 53.24% win rate in LoL Patch 13.23. We've analyzed 19838 Nasus Mid Lane games to compile our statistical Nasus Build Guide. For items, our build recommends: Ionian Boots of Lucidity, Divine Sunderer, Frozen Heart, Gargoyle Stoneplate, 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 Ghost and Teleport. Starting items should include Doran's Shield, Health Potion, and Stealth Ward. Nasus's Best Mid Lane matchups include Qiyana, Azir, and Quinn. Nasus's Best Mid Lane counters are Vel'Koz, Cho'Gath, and Sion.