Ekko Mid Lane is ranked A Tier and has a 49.03% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 33631 Ekko Mid Lane games to compile our statistical Ekko Spellbook Build Guide. For items, our build recommends: Hextech Rocketbelt, Sorcerer's Shoes, Lich Bane, Zhonya's Hourglass, Shadowflame, and Rabadon's Deathcap. For runes, the strongest choice is Domination (Primary) with Electrocute (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Amplifying Tome, Doran's Ring, Health Potion, and Stealth Ward. Ekko's Best Spellbook Mid Lane matchups include Taliyah, Gwen, and Varus. Ekko's Best Spellbook Mid Lane counters are Karthus, Renekton, and Zilean.