Aatrox ADC is ranked Off Meta Tier and has a 45.19% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 1839 Aatrox ADC games to compile our statistical Aatrox Spellbook Build Guide. For items, our build recommends: Goredrinker, Plated Steelcaps, Sterak's Gage, Serylda's Grudge, Black Cleaver, and Death's Dance. For runes, the strongest choice is Precision (Primary) with Conqueror (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Pickaxe, Health Potion, and Stealth Ward. Aatrox's Best Spellbook ADC matchups include Kalista, Veigar, and Ziggs. Aatrox's Best Spellbook ADC counters are Xayah, Anivia, and Cassiopeia.