Vel'Koz Mid Lane is ranked D Tier and has a 50.08% win rate in LoL Patch 13.24. We've analyzed 603 Vel'Koz Mid Lane games to compile our statistical Vel'Koz Build Guide. For items, our build recommends: Sorcerer's Shoes, Liandry's Anguish, Zhonya's Hourglass, Shadowflame, Morellonomicon, and Rabadon's Deathcap. For runes, the strongest choice is Sorcery (Primary) with Arcane Comet (Keystone), and Inspiration (Secondary). The optimal Summoner Spells for this build are Flash and Barrier. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Vel'Koz's Best Mid Lane matchups include Annie, Azir, and Lissandra. Vel'Koz's Best Mid Lane counters are Xerath, Kassadin, and Ziggs.