Thresh Top Lane is ranked Off Meta Tier and has a 37.27% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 1632 Thresh Top Lane games to compile our statistical Thresh Spellbook Build Guide. For items, our build recommends: Kraken Slayer, Berserker's Greaves, Rapid Firecannon, The Collector, Thornmail, and Infinity Edge. 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 Pickaxe, Health Potion, and Stealth Ward. Thresh's Best Spellbook Top Lane matchups include Akshan, Maokai, and Kennen. Thresh's Best Spellbook Top Lane counters are Camille, Vladimir, and Darius.