Akshan Mid Lane is ranked A Tier and has a 51.17% win rate in LoL Patch 13.24. We've analyzed 787 Akshan Mid Lane games to compile our statistical Akshan Build Guide. For items, our build recommends: Berserker's Greaves, Kraken Slayer, The Collector, Blade of The Ruined King, Guinsoo's Rageblade, and Wit's End. For runes, the strongest choice is Precision (Primary) with Press the Attack (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Doran's Blade, Health Potion, and Stealth Ward. Akshan's Best Mid Lane matchups include Brand, Taliyah, and Tristana. Akshan's Best Mid Lane counters are Pantheon, Naafiri, and Vladimir.