Rek'Sai Mid Lane is ranked Off Meta Tier and has a 53.63% win rate in LoL Patch 13.23. We've analyzed 737 Rek'Sai Mid Lane games to compile our statistical Rek'Sai Build Guide. For items, our build recommends: Eclipse, Plated Steelcaps, The Collector, Ravenous Hydra, Black Cleaver, and Hullbreaker. For runes, the strongest choice is Domination (Primary) with Hail of Blades (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Doran's Blade, Health Potion, and Stealth Ward. Rek'Sai's Best Mid Lane matchups include Anivia, Malphite, and Rumble. Rek'Sai's Best Mid Lane counters are Kassadin, Neeko, and LeBlanc.