Tahm Kench Mid Lane is ranked Off Meta Tier and has a 52.42% win rate in LoL Patch 13.23. We've analyzed 5208 Tahm Kench Mid Lane games to compile our statistical Tahm Kench Build Guide. For items, our build recommends: Mercury's Treads, Heartsteel, Sunfire Aegis, Demonic Embrace, Thornmail, and Spirit Visage. For runes, the strongest choice is Resolve (Primary) with Grasp of the Undying (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Doran's Shield, Health Potion, and Stealth Ward. Tahm Kench's Best Mid Lane matchups include Diana, Qiyana, and Vel'Koz. Tahm Kench's Best Mid Lane counters are Swain, Anivia, and Tristana.