Nasus Mid Lane is ranked Off Meta Tier and has a 57.26% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 3348 Nasus Mid Lane games to compile our statistical Nasus Spellbook Build Guide. For items, our build recommends: Ionian Boots of Lucidity, Divine Sunderer, Frozen Heart, Spirit Visage, Thornmail, 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 Mid Lane matchups include Gwen, Azir, and Cassiopeia. Nasus's Best Spellbook Mid Lane counters are Ryze, Ziggs, and Aurelion Sol.