Twitch Mid Lane is ranked Off Meta Tier and has a 48.61% win rate in LoL Swiftplay Patch 25.13. We've analyzed 212 Twitch Mid Lane games to compile our statistical Twitch Swiftplay Build Guide. For items, our build recommends: Berserker's Greaves, Nashor's Tooth, Runaan's Hurricane, Shadowflame, Rabadon's Deathcap, and Infinity Edge. For runes, the strongest choice is Precision (Primary) with Lethal Tempo (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Twitch's Best Swiftplay Mid Lane matchups include Akali, Malzahar, and Twisted Fate. Twitch's Best Swiftplay Mid Lane counters are Irelia, Aurelion Sol, and LeBlanc.
Twitch Summoner Spells






Twitch Starting Items






Twitch Runes
Twitch Items








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



























Twitch Trinkets



Twitch Boots






Twitch Situational Items





