Kai'Sa Mid Lane is ranked Off Meta Tier and has a 50.57% win rate in LoL Patch 9.24. We've analyzed 1626 Kai'Sa Mid Lane games to compile our statistical Kai'Sa Build Guide. For items, our build recommends: Berserker's Greaves, Stormrazor, Guinsoo's Rageblade, Infinity Edge, Runaan's Hurricane, and Nashor's Tooth. For runes, the strongest choice is Precision (Primary) with Press the Attack (Keystone), and Inspiration (Secondary). The optimal Summoner Spells for this build are Flash and Heal. Starting items should include Health Potion, Doran's Blade, Dagger, Doran's Shield, and Warding Totem (Trinket). Kai'Sa's Best Mid Lane matchups include Twisted Fate, Xerath, and Cassiopeia. Kai'Sa's Best Mid Lane counters are Heimerdinger, Aatrox, and Kennen.
Kai'Sa Summoner Spells






Kai'Sa Starting Items





Kai'Sa Runes
Kai'Sa Items








Kai'Sa Skill Order
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![]() | R | R | R |
Kai'Sa Trinkets



Kai'Sa Boots





