Kog'Maw Mid Lane is ranked Off Meta Tier and has a 55.59% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 1894 Kog'Maw Mid Lane games to compile our statistical Kog'Maw Spellbook Build Guide. For items, our build recommends: Luden's Tempest, Sorcerer's Shoes, Archangel's Staff, Runaan's Hurricane, Horizon Focus, and Rabadon's Deathcap. For runes, the strongest choice is Precision (Primary) with Lethal Tempo (Keystone), and Domination (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Amplifying Tome, Tear of the Goddess, Health Potion, and Stealth Ward. Kog'Maw's Best Spellbook Mid Lane matchups include Qiyana, Vladimir, and Ezreal. Kog'Maw's Best Spellbook Mid Lane counters are Diana, Aurelion Sol, and Tryndamere.