Sightstone is the only item on
Thresh that is mandatory. You are the support, so it is your job to ward. In bronze, you can probably win all of your games just by warding the map. It also gives you some nice health early, helping you stay in lane. Try to buy some
Vision Wards along the way, but buying
Sightstone is a must!
face of the mountain is the item of choice if you do not have a tank on your team, for example if you have a
Fiora going in the toplane. It synergizes well with your kit, giving you health, cooldown reduction, an active ability shielding your adc for extra peeling potential, and health regeneration, making you a better tank. To get it, start with the item
Relic Shield, which also helps give your adc sustain in lane due its passive ability. Must I go on? Buy this!
Locket of the Iron Solari is usually the first major item I rush unless I am vs a very attack damage based composition such as a
Zed mid and an
Ashe support. (Yes,
Ashe can support). It gets you some more cooldown reduction, some much needed magic resist, and 400 health (which is a lot early game), and some health regeneration. The health regeneration is especially useful early game if you buy a
Rejuvenation Bead on your first back to base because
Thresh has no sustain himself.
Mobility Boots are essential for a good
Thresh player. If you are a beginner and will not be roaming or warding that much, I would advise
Ninja Tabi to make you more tanky. If you are thinking of maining
Thresh or are even playing him in any ranked game,
Mobility Boots are needed. They allow you to ward around the map faster, make clutch lantern saves, and roam to other lanes to help carry games. People say that you cannot carry as a support, but with roaming you can. I will get to that later, though.
Randuin's Omen is the defensive item I will usually get focusing on armor when playing
Thresh. I prefer it over
Frozen Heart because at level 18,
Thresh only has 2013 health. While
Frozen Heart does offer 30 armor more,
Randuin's Omen gives 500 health, and a much better passive and active ability.
Talisman of Ascension is a more greedy version of
face of the mountain early game, but it scales much better. If you are on a team that scales very well, such as having a
Vayne as your adc, I would highly encourage you to buy
Talisman of Ascension. It gives you no flat health, but it does give you 10% cooldown reduction, 100% health and mana regeneration, 20 movement speed, and 2 gold for every 10 seconds. Its passive ability gives you 10 health every time you are near a minion killed by anyone besides you. That is great for you, but since you offer no sustain, it is not ideal on
Thresh. Its active is what makes it viable on
Thresh. It makes all allied champions near you (within 600 range) go 40% faster for 3 seconds. That is very helpful for engaging, escaping, or just getting to lane faster with its cooldown only being one minute.
Mikael's Blessing is the item on
Thresh that will eliminate all of your mana problems. Also, get it if you If vs a lot of magic damage. It gives you almost as much magic resist as a
Banshee's Veil, and many other nice stats. IF you type in chat (I'm out of mana; going back to base) after you buy this item, your are doing something wrong. It is a relatively cheap legendary item, costing only 2450 gold. It gives
Thresh everything he needs to stay in lane: 40 magic resist, 100% mana regeneration, 10% cooldown reduction, a passive restoring 2% mana every five seconds, and an active removing all debuffs from a champion and 10% of their health. The active is more useful cast on yourself because most likely, your adc will not have much health, so the 10% is not that much. As
Thresh builds tank usually, it will heal you more.
Frozen Mallet is an item on
Thresh that I just started trying, and I believe that it is a great pick in certain situations. It gives a top of hp, along with a passive giving you even more CC! This item is great, allowing me to get a ton of hp without having to get a
Warmog's Armor.
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