Sivir Mid Lane is ranked Off Meta Tier and has a 48.19% win rate in LoL Patch 13.23. We've analyzed 2338 Sivir Mid Lane games to compile our statistical Sivir Build Guide. For items, our build recommends: Berserker's Greaves, Statikk Shiv, Kraken Slayer, Manamune, Navori Quickblades, and Lord Dominik's Regards. For runes, the strongest choice is Precision (Primary) with Lethal Tempo (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Doran's Blade, Health Potion, and Stealth Ward. Sivir's Best Mid Lane matchups include LeBlanc, Sion, and Qiyana. Sivir's Best Mid Lane counters are Heimerdinger, Malphite, and Lissandra.