Nasus Top Lane is ranked S Tier and has a 50.90% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 38369 Nasus Top Lane games to compile our statistical Nasus Spellbook Build Guide. For items, our build recommends: Plated Steelcaps, Divine Sunderer, Frozen Heart, Thornmail, Spirit Visage, and Gargoyle Stoneplate. For runes, the strongest choice is Precision (Primary) with Fleet Footwork (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Sheen, Refillable Potion, and Stealth Ward. Nasus's Best Spellbook Top Lane matchups include Gangplank, Renekton, and Vladimir. Nasus's Best Spellbook Top Lane counters are Cassiopeia, Zac, and Maokai.