Nasus Support is ranked Off Meta Tier and has a 38.45% win rate in LoL Patch 13.23. We've analyzed 4599 Nasus Support games to compile our statistical Nasus Build Guide. For items, our build recommends: Ionian Boots of Lucidity, Liandry's Anguish, Frozen Heart, Rylai's Crystal Scepter, Demonic Embrace, and Shard of True Ice. For runes, the strongest choice is Sorcery (Primary) with Arcane Comet (Keystone), and Inspiration (Secondary). The optimal Summoner Spells for this build are Flash and Exhaust. Starting items should include Spellthief's Edge, Health Potion, and Stealth Ward. Nasus's Best Support matchups include Shen, Twitch, and Anivia. Nasus's Best Support counters are Rell, Amumu, and Maokai.