Thresh Mid Lane is ranked Off Meta Tier and has a 51.63% win rate in LoL Patch 9.24. We've analyzed 1319 Thresh Mid Lane games to compile our statistical Thresh Build Guide. For items, our build recommends: Boots of Mobility, Knight's Vow, Zeke's Convergence, Righteous Glory, Locket of the Iron Solari, 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, Doran's Blade, Control Ward, Boots of Speed, and Warding Totem (Trinket). Thresh's Best Mid Lane matchups include Aphelios, Twisted Fate, and Heimerdinger. Thresh's Best Mid Lane counters are Garen, Lux, and Azir.
Thresh Summoner Spells






Thresh Starting Items





Thresh Runes
Thresh Items








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



Thresh Boots





