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Recommended Items
Runes: Stealth Type

+10% Attack Speed
+9 Adaptive (5.4 AD or 9 AP)
+65 Base Health
Spells:
Flash
Heal
Items
Ability Order

Deadly Venom (PASSIVE)
Twitch Passive Ability
Threats & Synergies
Threats
Synergies
Show All
Extreme Threats

Caitlyn
Caitlyn's Q can control the lane in early game. Her W can also control twitch during his Q

Braum
Twitch with Lethal Tempo can proc Braum's passive fast on multiple targets with ult or Runaans
Synergies

Braum
Twitch with Lethal Tempo can proc Braum's passive fast on multiple targets with ult or Runaans
Champion Build Guide

Pros
> Can easily eliminate the whole team with proper timing and positioning with his
> Can carry the whole team late game
> Can turn a clash around with his
+
> Can gank mid laner and scout the
Cons
> Very squishy
> Relies heavily on
> Early game is not 100% successful
>Would be a secured kill in hard CC's like
he can easily sneak up on enemies and with a good support, he can execute with his
. Twitch is best with an offensive support like 
Passive: Deadly Venom
. Although it doesnt do much damage in early game, it helps execute enemies easily.Q:Ambush
Cooldown: 16 Cost: 40
After 1.5 seconds,
If
W:Venom Cask
Cooldown: 13 / 12 / 11 / 10 / 9 Cost: 70
The cloud lasts 3 seconds.
This ability helps
E:Contaminate
Cooldown: 12 / 11 / 10 / 9 / 8 Cost: 50 / 60 / 70 / 80 / 90
Deals 20 / 30 / 40 / 50 / 60 physical damage to enemies infected with
This ability simply enables
R: Spray and Pray
Range: 850
Cooldown: 120 / 110 / 100 Cost: 100
For 5 seconds,
This ability is what makes

Primary Tree
Precision
I'd use
I'd use
Id only use this for a mid-lane
I chose
You could use this if the enemy ADC and support is easy to kill.
You could also use this if the enemy team has a lot of stuns and slows.
You can trade this in instead of
This is good on
I would only use this if the enemy team has 3 or more tanks
Secondary Tree
Domination
You could choose between
+
+ AA +
This wouldnt be a bad rune to pick, its just not the best out of the three
As I said earlier, domination is an
>
>
>
. The 7 lethality you get is still pretty neat considering you kill the enemy target and reuse
This is also a viable rune for Twitch and is good paired with
Kinda bit useless since Twitch's only active item would be
and let the support do most warding
Paired with
This is the third rune in this set that i would use since
Sorcery
This is a good rune for
This rune would be good especially if your support can buff you with movement speed like
The 8-18 bonus attack damage from this rune is good to have especially with a heal support like
This rune is not that bad for
This would be good if your mid is gank reliant and your jungler is either dc or focusing his gank on top ONLY.
This is the best rune among its set because it gives high bonus ad for twich in late game.
Inspiration
Id recommend beginner
Not recommended for Twitch as he can use
This is good for Twitch as he can use the 300 gold for the
Not really useful for Twitch except when the enemy bot lane can sure-kill you.These runes are what I've been using since I played Twitch. You can use any rune you want as long as you're comfortable with it and it goes with your playstyle.

Starting Items
Usually used if your lane is more squishy or equal to
Twitch like
Jinx. It would work playing against a
Caitlyn or
Miss Fortune if the player is stupid but otherwise I wouldnt risk it.
I'd only use it against
Twitch counters like
Caitlyn,
Miss Fortune,
Draven, or
Lucian as their poke capabilities can zone
Twitch out into defending.
Early to Mid game
In this stage of the game,
Twitch is supposed to be focusing on farming and getting his core items immediately such as
Blade of the Ruined King,
Berserker's Greaves, and
Runaan's Hurricane.
On your first back around 6 minutes, you would take a
Recurve Bow, a
Refillable Potion, and a
Boots that would cost to 1450 gold.
At 10 minutes you should be able to buy a
Berserker's Greaves already and you can rush push your lane again for your
Blade of the Ruined King
Note: its okay to be a little behind on this schedule for about a minute or so but as I noticed,
Twitch can have a little bit of hard time to farm if he is behind by one or two items compared to the enemy ADC.
After getting your
, you could try to gank mid and assist or kill then go back to bot to farm again. This should be done before 15 minutes. If you still haven't pushed the bot turret, you should before 14 minutes as the turret plating bounty is pretty neat.
Before the mid game - late game transition, you should have your core items already as this is when you'll start to go with your team for clash.
, you could try to gank mid and assist or kill then go back to bot to farm again. This should be done before 15 minutes. If you still haven't pushed the bot turret, you should before 14 minutes as the turret plating bounty is pretty neat.Before the mid game - late game transition, you should have your core items already as this is when you'll start to go with your team for clash.
Late Game
As Twitch enters late game with his core items(
), he should already be able to kill an enemy by himself(even if he uses everything like heal, flash, or/and ult)
Note: this is around 20-23 minutes.This is also the time Twitch has his
Infinity Edge
As the game goes around 30-35 minutes he should be building his last item like
Bloodthirster,
Black Cleaver or
Mercurial Scimitar.He should also be sticking to his team as he is pretty much 45-55% of their physical damage.
Item Purchase Order
>
>
>
>
>
(note: this is just an example build but this build is what I use while against a enemy healer)

I would be happy for recommendations from you guys. This is my first try making a guide and im sorry if I got some english wrong, its my second language : ^) Im also still upgrading the threats and synergies and please correct me kindly if I made some mistakes thanks!
Credits for: https://www.deviantart.com/darklordmokeymokey/art/Omega-Squad-Twitch-Signature-698680895 for the Omega Squad Twitch header pic : ^)




















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