So this is my guide on twitch. It served me very well as you can see by my matches. My ELO is very good, but I'm still working on getting up on the top ten. Considering I climbed from 0 to 600 ELO by not even trying my best, I think this build has served me very well in the past.

Here is some insight on how most of your games will go.
http://s766.photobucket.com/albums/xx304/Shmizzle889/?action=view&current=Protwitch.jpg&newest=1

What most twitches don't understand is that Attack Speed is very important as Twitch. Most twitch players believe that a balance between Attack damage and Attack Speed will get you to a carrying and very good state. However rushing as much attack speed early is much better than trying to find a good balance between them both.

The Ability power given by Malady comes with attack speed, which is really really really really overpowered on twitch because late game when you get expunge to max level because it will add a good amount of damage.

With that much attack speed you will attack very fast. Not all people know that when they are playing twitch. Another thing to note is that malady doesn't give life steal, but if you attack that fast they will be dead before they even hit you.

There are some options you could go to tweak this build, but there is only two.

One: Get berserker greaves instead of Mobility. If you don't want to gank get greaves instead of mobility

Two: Get one or two Wit's Ends instead of Malady because it does good damage, especially against Renekton, Garen, the ninjas, and teemo.

Thanks for reading my guide, if you think it was helpful please call me and suck my ****, I'm lonely.