Alistar Support is ranked A Tier and has a 49.94% win rate in LoL Patch 13.24. We've analyzed 4574 Alistar Support games to compile our statistical Alistar Build Guide. For items, our build recommends: Plated Steelcaps, Radiant Virtue, Knight's Vow, Thornmail, Zeke's Convergence, and Bulwark of the Mountain. For runes, the strongest choice is Inspiration (Primary) with Glacial Augment (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Relic Shield, Health Potion, and Stealth Ward. Alistar's Best Support matchups include Hwei, Zac, and Annie. Alistar's Best Support counters are Amumu, Tahm Kench, and LeBlanc.