Thresh Mid Lane is ranked Off Meta Tier and has a 16.03% win rate in LoL Patch 7.24. We've analyzed 21 Thresh Mid Lane games to compile our statistical Thresh Build Guide. For items, our build recommends: Berserker's Greaves, Thornmail, Infinity Edge, Statikk Shiv, Blade of the Ruined King, and The Bloodthirster. For runes, the strongest choice is Precision (Primary) with Lethal Tempo (Keystone), and <pathBonus><pathPrecision>Precision</pathPrecision> + <pathDomination>Domination</pathDomination> </pathBonus> (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Health Potion, Doran's Blade, Long Sword, Doran's Shield, and Warding Totem (Trinket). Thresh's Best Mid Lane matchups include Yasuo.
Thresh Summoner Spells





Thresh Starting Items





Thresh Runes
Thresh Items








Thresh Skill Order
![]() | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
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![]() | Q | Q | Q | Q | Q | |||||||||||||
![]() | W | W | W | W | W | |||||||||||||
![]() | E | E | E | E | E | |||||||||||||
![]() | R | R | R |
Thresh Trinkets




Thresh Boots




