Teemo Top Lane is ranked S+ Tier and has a 53.78% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 72588 Teemo Top Lane games to compile our statistical Teemo Spellbook Build Guide. For items, our build recommends: Sorcerer's Shoes, Nashor's Tooth, Liandry's Anguish, Demonic Embrace, Morellonomicon, and Rabadon's Deathcap. For runes, the strongest choice is Precision (Primary) with Press the Attack (Keystone), and Domination (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. Teemo's Best Spellbook Top Lane matchups include Udyr, Skarner, and Gwen. Teemo's Best Spellbook Top Lane counters are Dr. Mundo, Zac, and Shen.