Twitch ADC is ranked A Tier and has a 52.15% win rate in LoL Patch 13.24. We've analyzed 56852 Twitch ADC games to compile our statistical Twitch Build Guide. For items, our build recommends: Berserker's Greaves, Blade of The Ruined King, Kraken Slayer, Runaan's Hurricane, Guinsoo's Rageblade, and Lord Dominik's Regards. For runes, the strongest choice is Precision (Primary) with Lethal Tempo (Keystone), and Domination (Secondary). The optimal Summoner Spells for this build are Flash and Ghost. Starting items should include Doran's Blade, Health Potion, and Stealth Ward. Twitch's Best ADC matchups include Aphelios, Zeri, and Kalista. Twitch's Best ADC counters are Nilah, Corki, and Yasuo.