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Aside from being very annoying Early and Late, mid game you completely wreck Teemo. Heck, if you are good enough even Early game you can wreck Teemo. Ever since the changes to Nasus, Teemo is not as strong as a counter as he seems anymore. Just bait out the blind and you can punish him.
Vayne
INCREDIBLY hard to fight against, be it she is solo laning or with a support. There's not much you can do when she can roll away from you AND push you back while still doing a lot of damage. Don't pick Nasus if you have to fight her top.
Dr. Mundo
Hard to kill, and annoying as hell. Stay behind those minions but don't try to fight him directly unless you know you can win.
Darius
A harder matchup, you can probably duel him early but as soon as he gets 6 you better not fight him alone.
Aatrox
Seeing as Aatrox can autoattack 3 times before your Q is up, this match is almost near impossible unless you rush Frozen Heart, Randuins Omen, and Trinity Force
Fiora
She can burst you down level 1, just be careful.
Gangplank
I find this matchup surprisingly easy, just rush armor and Tabi and you will be pretty good.
Gnar
his mobility is insane with Nasus, It's very hard to fight Gnar.
Lee Sin
Not actually that hard of a matchup, just be careful of getting hit by his Q's and you should be okay.
Maokai
I actually haven't fought this guy top enough to really give a difficulty rating.
Galio
Galio has a bad time 1 v 1ing in the first place. Just don't hit him when his shield is up and wither him if he tries to run away with gust.
Master Yi
Master Yi will shred you late, but you can beat him early with jungler help.
Olaf
Olaf is a bully, plain and simple. He's very hard for Nasus to fight.
Nasus
May the better dog Win.
Shen
Should be relatively passive aside from the constant Q's. But you have a Crystalline Flask for that.
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