Garen Mid Lane is ranked Off Meta Tier and has a 48.53% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 4751 Garen Mid Lane games to compile our statistical Garen Spellbook Build Guide. For items, our build recommends: Berserker's Greaves, Stridebreaker, Mortal Reminder, Dead Man's Plate, Sterak's Gage, and Black Cleaver. 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. Garen's Best Spellbook Mid Lane matchups include Pyke, Cho'Gath, and Varus. Garen's Best Spellbook Mid Lane counters are Swain, Aatrox, and Seraphine.