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Spells:
Flash
Exhaust
The short universal guide to thresh mid.
His W is to make sure you don't get poked, but later in game it will be used as an anti-burst.
Thresh' E can be very useful for bringing enemy midlaner out of the minions and then followed up with a Q. Building full AP makes sure this does a "hella tonna damage". And also, his E passive makes for great poke.
Thresh' R can be used to also do a "hella tonna damage" and to block any escapes.
Wombo combo: Use E to get enemy midlaner outside of minions bodyblock protection, then Q, then W (to make sure they don't fight back) and then R. Make sure you have a jungler with a gap closer and high burst to finish the job. By late game you will be able to 1 v 1 anyone. Gg.
What to build: Full ap. Just full ap.
Maybe some ad if you want to get fancy with pokes.
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