Anivia Support is ranked C Tier and has a 43.10% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 6103 Anivia Support games to compile our statistical Anivia Spellbook Build Guide. For items, our build recommends: Sorcerer's Shoes, Liandry's Anguish, Archangel's Staff, Zhonya's Hourglass, Demonic Embrace, and Shard of True Ice. For runes, the strongest choice is Domination (Primary) with Electrocute (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Tear of the Goddess, Spellthief's Edge, Refillable Potion, and Stealth Ward. Anivia's Best Spellbook Support matchups include Zac, Sion, and Nunu. Anivia's Best Spellbook Support counters are Sejuani, Tahm Kench, and Amumu.