Tristana ADC is ranked A Tier and has a 51.37% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 46046 Tristana ADC games to compile our statistical Tristana Spellbook Build Guide. For items, our build recommends: Berserker's Greaves, Kraken Slayer, Phantom Dancer, Rapid Firecannon, Infinity Edge, and Bloodthirster. For runes, the strongest choice is Domination (Primary) with Hail of Blades (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Pickaxe, Health Potion, and Stealth Ward. Tristana's Best Spellbook ADC matchups include Karthus, Jayce, and Kindred. Tristana's Best Spellbook ADC counters are Anivia, Viktor, and Miss Fortune.