Thresh Mid Lane is ranked Off Meta Tier and has a 54.46% win rate in LoL Patch 8.24. We've analyzed 224 Thresh Mid Lane games to compile our statistical Thresh Build Guide. For items, our build recommends: Boots of Mobility, Knight's Vow, Locket of the Iron Solari, Zeke's Convergence, Righteous Glory, and Redemption. For runes, the strongest choice is Resolve (Primary) with Aftershock (Keystone), and Inspiration (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Health Potion, Boots of Speed, Control Ward, Ruby Crystal, and Warding Totem (Trinket). Thresh's Best Mid Lane matchups include Lissandra, Galio, and LeBlanc. Thresh's Best Mid Lane counters are Twisted Fate, Anivia, and Kassadin.
Thresh Summoner Spells





Thresh Starting Items





Thresh Runes
Thresh Items








Thresh Skill Order
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![]() | R | R | R |
Thresh Trinkets



Thresh Boots





