Qiyana ADC is ranked Off Meta Tier and has a 49.32% win rate in LoL Patch 13.23. We've analyzed 717 Qiyana ADC games to compile our statistical Qiyana Build Guide. For items, our build recommends: Duskblade of Draktharr, Ionian Boots of Lucidity, Prowler's Claw, Manamune, Axiom Arc, and Serylda's Grudge. For runes, the strongest choice is Domination (Primary) with Electrocute (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Tear of the Goddess, Health Potion, and Stealth Ward. Qiyana's Best ADC matchups include Veigar, Draven, and Kalista. Qiyana's Best ADC counters are Sivir, Tahm Kench, and Tristana.