Rammus Mid Lane is ranked Off Meta Tier and has a 55.36% win rate in LoL Patch 13.23. We've analyzed 1055 Rammus Mid Lane games to compile our statistical Rammus Build Guide. For items, our build recommends: Plated Steelcaps, Thornmail, Sunfire Aegis, Jak'Sho, The Protean, Gargoyle Stoneplate, and Randuin's Omen. For runes, the strongest choice is Resolve (Primary) with Aftershock (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Doran's Shield, Health Potion, and Stealth Ward. Rammus's Best Mid Lane matchups include Gangplank, Neeko, and Tristana. Rammus's Best Mid Lane counters are Vladimir, Ekko, and Ahri.