Orianna Mid Lane is ranked A Tier and has a 49.31% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 11132 Orianna Mid Lane games to compile our statistical Orianna Spellbook Build Guide. For items, our build recommends: Luden's Tempest, Sorcerer's Shoes, Archangel's Staff, Shadowflame, Zhonya's Hourglass, and Rabadon's Deathcap. For runes, the strongest choice is Sorcery (Primary) with Phase Rush (Keystone), and Inspiration (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Amplifying Tome, Doran's Ring, Health Potion, and Stealth Ward. Orianna's Best Spellbook Mid Lane matchups include Taliyah, Gangplank, and Cassiopeia. Orianna's Best Spellbook Mid Lane counters are Zyra, Renekton, and Neeko.