Twitch Support is ranked B Tier and has a 52.18% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 7525 Twitch Support games to compile our statistical Twitch Spellbook Build Guide. For items, our build recommends: Berserker's Greaves, Nashor's Tooth, Crown of the Shattered Queen, Rabadon's Deathcap, Runaan's Hurricane, and Shard of True Ice. 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 Amplifying Tome, Spellthief's Edge, Health Potion, and Stealth Ward. Twitch's Best Spellbook Support matchups include Cho'Gath, Veigar, and Malzahar. Twitch's Best Spellbook Support counters are Kennen, Shen, and Ornn.