Build Guide by Grewal
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Not Updated For Current Season
The masteries shown here are not yet updated for the current season, the guide author needs to set up the new masteries. As such, they will be different than the masteries you see in-game.
Twitch: Early, Mid, Late Game
BE AWARE OF ORACLES AND WARDS, IF SOMEONE HAS ORACLES, THEY SHOULD BE ON YOUR HIT LIST!
Early Game: Twitch is a somewhat weak champion early game. However, he is not to be underestimated. Twitch has the ability to scout around, and at level 2, your expunge is when you can truly pick up early kills. If you are sure of your ability to kill people, coordinate with lane mates to pick off kills. If you are mid, Twitch is an excellent mid and your stealth will make them panic. People don't usually have oracles and wards early game, so you will be fine. When you get one Avarice Blade and Boots of Mobility, begin ganking all lanes. Watch for wards and Oracles!
Mid-Game: Around this time, everyone should be breaking away from their lanes and have begun pushing lanes. You should have at least a BF Sword! Teams should be beginning to form, and this is when Spray and Pray with a BF Sword will hose people down. This is when Twitch is "Over Powered." Make your Infinity Edge with your Avarice Blades, and watch people fall over with crits! Again, watch wards and oracles, be cautious.
Late-Game: You should have a Phantom Dancer or Youmuu's by now, with Tiamat or Guinsoo's. Now, continue to coordinate ganks and get into good positioning with your team so your Spray and Pray will hit most of them. Twitch is most dominating late game since he has so much items, and can practically three shot enemies with this build. I can't stress enough how you need to be cautious of Sight Wards and Oracles!
~Vampric Scepter: This is the starting item for the Twitch. Since you'll have 25G left, you can't grab a pot, but the +12% Lifesteal is nice to have early game killing minions. You're also grabbing this item to set yourself up for your second item.
~Starks Fervor: Since Malady has change from LifeSteal to AP, the next best starting item for Twitch would be Stark's Fervor. Though you'll have 10% less ATKSPD than Malady, you'll have 8% more LifeSteal [making a total of 20%], and 30 HP/5. The best part about it is that your teammates will also benefit from these buffs as well, though remember: Stark's Fervor does give off a debuff of -20Armor, if the enemy team knows you have Stark's, they will know you are there. So pick your timing carefully.
~Boots of Mobility: Having the Movement 5 Speed is REALLY nice considering the amount of Ganking you can do with Twitch. When out of combat, you can hit around 430 Movement, which is really nice considering you can go from outer to mid in around 10-15 seconds, especially when you can stealth around and keep everyone on toes.
If the game isn't over yet, then the only other option is getting two Bloodthirsters, because it improves your survivability greatly (to stop you from losing the match since respawn by this time takes too long) and increases your damage nicely.
~Infinty Edge: If your game is lasted this long, the only other item I could see Twitch needing is Infinity Edge. The extra ATK and Crit Chance with its Passive Crit Boost should be the final cog to make you an unstoppable force.
Running this build, I try to MAX Ambush and Expunge as soon as possible, since these will be the two most abilities you have, it's best to get them to 5. I hold off on Spray n' Pray until 11 and 12 since when you receive Spray n' Pray at level 6, it's not fast enough to be very hurtful unless the opponent is either standing still or trying to bang; otherwise, just hold off on it until you can grab two levels instantly and enjoy how fast it is once you get some decent ATKSP and ATK.
~Play a passive game until you have enough Ambush and Expunge levels to do actual damage. Having Malady and Boots are a must before ganking since you can pass through lanes quickly, and have decent ATKSP when leaving stealth to start attacking.
~I always keep at least a level of Debilitating Poison since its range is rather nice and it will be your slow technique until you grab a Phage/Frozen Mallet later on in the match. Having two slows reduces any chance of an opponent escaping with more than 30-40% of their HP, if at all.
~Even though ganking is so well with Twitch, jungling mid game or picking up minion waves in unwatched lanes is needed for Twitch to keep up with the leveling average if a few ganks don't go as planned. Both the Red and Blue buff are fantastic for Twitch, and will allow you to spam more spells when needed.
Thanks for reading! Remember to rate [good or bad, whatev] and comment, and do tell how the build works for you.