Fizz Top Lane is ranked Off Meta Tier and has a 49.51% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 2637 Fizz Top Lane games to compile our statistical Fizz Spellbook Build Guide. For items, our build recommends: Luden's Tempest, Sorcerer's Shoes, Lich Bane, Zhonya's Hourglass, Rabadon's Deathcap, and Void Staff. 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 Blasting Wand, Health Potion, and Stealth Ward. Fizz's Best Spellbook Top Lane matchups include Gwen, Vladimir, and Shyvana. Fizz's Best Spellbook Top Lane counters are Urgot, Xin Zhao, and Sion.