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Twitch Build Guides, Runes and Items

Twitch The Plague Rat

Find the best Twitch build guides for League of Legends S13 Patch 12.22. The MOBAFire community works hard to keep their LoL builds and guides updated, and will help you craft the best Twitch build for the S13 meta. Learn more about Twitch's abilities, skins, or even ask your own questions to the community!

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Twitch Build & Runes

If you're looking for the best rune build for Twitch we've got you covered. Below you can find the best items and runes to build for Twitch, as determined by calculations of thousands of Plat+ League of Legends games. If you are already familiar with how to play Twitch this is a great resource to quickly get a good rune selection for Patch 12.22. However, if you are a new Twitch player we highly recommend reading through some of the guides above to learn why this build is strong on Twitch!

Patch 12.22: 171006 matches scanned * Each section of the build is rated independently of the others

Twitch's Runes

Twitch's Best Runes 50%

Win Rate 10767 Games

  • 1
  • 2
  • 3
Precision
LoL Path: Precision
LoL Rune: Lethal Tempo
Lethal Tempo
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity
LoL Rune: Coup de Grace
Coup de Grace

Domination
LoL Path: Domination
LoL Rune: Treasure Hunter
Treasure Hunter
LoL Rune: Taste of Blood
Taste of Blood

Second Best

Twitch's 2nd Best Runes 52%

Win Rate 2167 Games

Domination
LoL Path: Domination
LoL Rune: Hail of Blades
Hail of Blades
LoL Rune: Taste of Blood
Taste of Blood
LoL Rune: Eyeball Collection
Eyeball Collection
LoL Rune: Treasure Hunter
Treasure Hunter

Precision
LoL Path: Precision
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity

Third Best

Twitch's 3rd Best Runes 64%

Win Rate 111 Games

Precision
LoL Path: Precision
LoL Rune: Lethal Tempo
Lethal Tempo
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity
LoL Rune: Coup de Grace
Coup de Grace

Domination
LoL Path: Domination
LoL Rune: Ultimate Hunter
Ultimate Hunter
LoL Rune: Eyeball Collection
Eyeball Collection

Twitch's Summoner Spells

Twitch's Best Summoner Spells 51%

Win Rate 10348 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Summoner Spells 50%

Win Rate 12480 Games

Flash Heal

Third Best

Twitch's 3rd Best Summoner Spells 53%

Win Rate 4762 Games

Cleanse Flash

Twitch's Starters

Twitch's Best Starter Items 0%

Win Rate Games

! Small Sample Size Warning * There is either not a lot of games played on this champion or the builds vary greatly, we have provided the top build but it does not have a high confidence rating so use your own discretion.

Trinket

Twitch's Best Trinket 54%

Win Rate 17036 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Trinket 48%

Win Rate 15109 Games

Stealth Ward

Third Best

Twitch's 3rd Best Trinket 53%

Win Rate 2774 Games

Oracle Lens
Don’t forget
to Buy Wards

Twitch's Ability Order

Twitch's Best Ability Order 0%

Win Rate Games

  • 1
! Small Sample Size Warning * There is either not a lot of games played on this champion or the builds vary greatly, we have provided the top build but it does not have a high confidence rating so use your own discretion.
Patch 12.22: 354914 matches scanned * Each section of the build is rated independently of the others

Twitch's Runes

Twitch's Best Runes 54%

Win Rate 1123 Games

  • 1
  • 2
  • 3
Domination
LoL Path: Domination
LoL Rune: Hail of Blades
Hail of Blades
LoL Rune: Taste of Blood
Taste of Blood
LoL Rune: Eyeball Collection
Eyeball Collection
LoL Rune: Treasure Hunter
Treasure Hunter

Precision
LoL Path: Precision
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity

Second Best

Twitch's 2nd Best Runes 62%

Win Rate 87 Games

Domination
LoL Path: Domination
LoL Rune: Hail of Blades
Hail of Blades
LoL Rune: Sudden Impact
Sudden Impact
LoL Rune: Eyeball Collection
Eyeball Collection
LoL Rune: Relentless Hunter
Relentless Hunter

Precision
LoL Path: Precision
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity

Third Best

Twitch's 3rd Best Runes 54%

Win Rate 755 Games

Precision
LoL Path: Precision
LoL Rune: Lethal Tempo
Lethal Tempo
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity
LoL Rune: Coup de Grace
Coup de Grace

Domination
LoL Path: Domination
LoL Rune: Treasure Hunter
Treasure Hunter
LoL Rune: Taste of Blood
Taste of Blood

Twitch's Summoner Spells

Twitch's Best Summoner Spells 53%

Win Rate 5322 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Summoner Spells 53%

Win Rate 1072 Games

Exhaust Flash

Third Best

Twitch's 3rd Best Summoner Spells 58%

Win Rate 377 Games

Cleanse Flash

Twitch's Starters

Twitch's Best Starter Items 55%

Win Rate 4220 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Starter Items 54%

Win Rate 1781 Games

Doran's Blade Health Potion

Third Best

Twitch's 3rd Best Starter Items 51%

Win Rate 1035 Games

Health Potion Spellthief's Edge

Trinket

Twitch's Best Trinket 57%

Win Rate 2851 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Trinket 50%

Win Rate 3221 Games

Stealth Ward

Third Best

Twitch's 3rd Best Trinket 53%

Win Rate 2351 Games

Oracle Lens
Don’t forget
to Buy Wards
Patch 12.22: 354914 matches scanned * Each section of the build is rated independently of the others

Twitch's Runes

Twitch's Best Runes 47%

Win Rate 1753 Games

  • 1
  • 2
  • 3
Domination
LoL Path: Domination
LoL Rune: Hail of Blades
Hail of Blades
LoL Rune: Taste of Blood
Taste of Blood
LoL Rune: Eyeball Collection
Eyeball Collection
LoL Rune: Treasure Hunter
Treasure Hunter

Precision
LoL Path: Precision
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity

Second Best

Twitch's 2nd Best Runes 58%

Win Rate 104 Games

Domination
LoL Path: Domination
LoL Rune: Hail of Blades
Hail of Blades
LoL Rune: Sudden Impact
Sudden Impact
LoL Rune: Eyeball Collection
Eyeball Collection
LoL Rune: Relentless Hunter
Relentless Hunter

Precision
LoL Path: Precision
LoL Rune: Coup de Grace
Coup de Grace
LoL Rune: Legend: Alacrity
Legend: Alacrity

Third Best

Twitch's 3rd Best Runes 56%

Win Rate 55 Games

Domination
LoL Path: Domination
LoL Rune: Hail of Blades
Hail of Blades
LoL Rune: Cheap Shot
Cheap Shot
LoL Rune: Eyeball Collection
Eyeball Collection
LoL Rune: Treasure Hunter
Treasure Hunter

Precision
LoL Path: Precision
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity

Twitch's Summoner Spells

Twitch's Best Summoner Spells 49%

Win Rate 6071 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Summoner Spells 53%

Win Rate 51 Games

Exhaust Ignite

Third Best

Twitch's 3rd Best Summoner Spells 45%

Win Rate 505 Games

Exhaust Flash

Twitch's Starters

Twitch's Best Starter Items 51%

Win Rate 28173 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Starter Items 53%

Win Rate 6734 Games

Doran's Ring Health Potion

Third Best

Twitch's 3rd Best Starter Items 51%

Win Rate 6456 Games

Long Sword Health Potion

Trinket

Twitch's Best Trinket 49%

Win Rate 5814 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Trinket 51%

Win Rate 402 Games

Farsight Alteration

Third Best

Twitch's 3rd Best Trinket 41%

Win Rate 842 Games

Stealth Ward
Don’t forget
to Buy Wards

Twitch's Ability Order

Twitch's Best Ability Order 66%

Win Rate 1539 Games

  • 1
  • 2
  • 3
Patch 12.22: 354914 matches scanned * Each section of the build is rated independently of the others

Twitch's Runes

Twitch's Best Runes 55%

Win Rate 86 Games

  • 1
  • 2
  • 3
Precision
LoL Path: Precision
LoL Rune: Lethal Tempo
Lethal Tempo
LoL Rune: Triumph
Triumph
LoL Rune: Legend: Alacrity
Legend: Alacrity
LoL Rune: Coup de Grace
Coup de Grace

Domination
LoL Path: Domination
LoL Rune: Ultimate Hunter
Ultimate Hunter
LoL Rune: Sudden Impact
Sudden Impact

Second Best

Twitch's 2nd Best Runes 53%

Win Rate 195 Games

Domination
LoL Path: Domination
LoL Rune: Hail of Blades
Hail of Blades
LoL Rune: Sudden Impact
Sudden Impact
LoL Rune: Eyeball Collection
Eyeball Collection
LoL Rune: Relentless Hunter
Relentless Hunter

Precision
LoL Path: Precision
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity

Third Best

Twitch's 3rd Best Runes 49%

Win Rate 419 Games

Precision
LoL Path: Precision
LoL Rune: Lethal Tempo
Lethal Tempo
LoL Rune: Presence of Mind
Presence of Mind
LoL Rune: Legend: Alacrity
Legend: Alacrity
LoL Rune: Coup de Grace
Coup de Grace

Domination
LoL Path: Domination
LoL Rune: Treasure Hunter
Treasure Hunter
LoL Rune: Taste of Blood
Taste of Blood

Twitch's Summoner Spells

Twitch's Best Summoner Spells 44%

Win Rate 5850 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Summoner Spells 51%

Win Rate 795 Games

Flash Ignite

Third Best

Twitch's 3rd Best Summoner Spells 54%

Win Rate 297 Games

Flash Heal

Twitch's Starters

Twitch's Best Starter Items 43%

Win Rate 2104 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Starter Items 46%

Win Rate 1659 Games

Emberknife Refillable Potion

Third Best

Twitch's 3rd Best Starter Items 53%

Win Rate 569 Games

Health Potion Spellthief's Edge

Trinket

Twitch's Best Trinket 46%

Win Rate 4491 Games

  • 1
  • 2
  • 3

Second Best

Twitch's 2nd Best Trinket 42%

Win Rate 2935 Games

Stealth Ward

Third Best

Twitch's 3rd Best Trinket 49%

Win Rate 1469 Games

Farsight Alteration
Don’t forget
to Buy Wards

Twitch's Ability Order

Twitch's Best Ability Order 66%

Win Rate 308 Games

  • 1
  • 2
  • 3

Twitch Counters

Learn Twitch's counters and discover matchups where they have an advantage! When you're starting a game of League of Legends you should always keep in mind if you'll be at an advantage or disadvantage against your opponent, so you can know whether to bully them or play safe. You can find detailed breakdowns of each matchup on CounterStats, and you can also check out some Twitch guides to see how to build and play against other champions you may find yourself up against!


This counter data is for Twitch ADC in Plat+ games. The percent shown is the enemy champion's counter rating against Twitch. Counter rating is our own statistic that factors in counter kills, overall kills, early lead ratio, comeback ratio, and win percent to give the whole picture of that champion's effectiveness as a counter pick.

Twitch Skins

Twitch's Abilities

Twitch's Deadly Venom
Deadly Venom Twitch's Passive Twitch's Passive
Self
Twitch's Passive
Twitch's Passive
Twitch's attacks infect his target dealing 1 / 2 / 3 / 4 / 5 (+3% of ability power) true damage per second for 6 seconds, stacking up to 6 times.
Q
Twitch's Ambush
Ambush Twitch's Q Ability
500
40
16
Twitch Camouflages and gains 10% for 10 / 11 / 12 / 13 / 14 seconds. The movement speed increases to 30% while near an enemy champion that can't see him. After exiting Camouflage, Twitch gains 40 / 45 / 50 / 55 / 60% attack speed for 5 seconds.

When an enemy champion dies while afflicted with Venom, this ability's cooldown is refreshed.
W
Twitch's Venom Cask
Venom Cask Twitch's W Ability
950
70
13 / 12 / 11 / 10 / 9
Twitch hurls a cask that adds a stack of Deadly Venom to all enemies struck and leaves behind a toxic cloud that persists for 3 seconds.

Enemies that remain within the cloud are slowed by 30 / 35 / 40 / 45 / 50% (+6% per 100 ability power) and receive an additional stack of Deadly Venom each second.
E
Twitch's Contaminate
Contaminate Twitch's E Ability
1200
50 / 60 / 70 / 80 / 90
12 / 11 / 10 / 9 / 8
Deals 20 / 30 / 40 / 50 / 60 physical damage to all nearby enemies affected by Deadly Venom, plus an additional 15 / 20 / 25 / 30 / 35 (+0.35 per bonus attack damage) physical damage and (+35% of ability power) magical damage per stack of Deadly Venom.
R
Twitch's Spray and Pray
Spray and Pray Twitch's Ultimate (R) Ability
1100
100
90
Twitch unleashes his crossbow, gaining 300 attack range and 40 / 55 / 70 attack damage, and causing his attacks to become piercing bolts for 6 seconds. These bolts hit all enemies they pass through, but deal 100-60% less damage to subsequent targets.

Questions About Twitch

Ask

Latest Questions

RUNE Not available

still showing ravenous hunter that skill doesn't exist

View (2) Answers

Contaminate/Expunge

So, how does twitch's E work exactly? Does it deal physical damage each second passively along with the active, or is it just the active?

View (2) Answers

Liandry’s torment?

So, I guess I am a little confused about what all has the ability to proc Liandry’s. Akali’s passive,Elise’s spider minions,Fizz’s W passive,Illaoi’s tentacles,Jax’s/Diana’s/Vi’s/Twisted Fate’s third hits,Qiyana’s passive,Rammus’s passive,Twitch’s...

View (3) Answers

Look for Yi/Twitch Mains to funnel

I'm a taric main looking for a Master Yi /Twitch main to funnel on top lane. Add Quinn Is Bae

View (1) Answers

What if ADC champion on top?

SO guys waht you think if adc champion on top lane?Are will be goog or bad?

View (3) Answers

Is Twitch adc worth playing?

So there are so many adcs and i only like twitch but i dont see him very high on tier lists

View (4) Answers

How to get an S rank on various champion types (ADC, Support, Jungle) ?

I am a [[Twitch]] main and it has been a while since I have mastered the champ till mastery level 6. Since then, no matter how good the game is, the best I manage to get is A+. S ranks are hard to come by. Same thing with [[Soraka]], my second...

View (10) Answers

is twitch good in the current meta?

[[twitch]] is my favorite and i love to play him but i want to know if he is in a good spot in the current meta right now

View (1) Answers

Twitch?

Dont know anything about him

View (3) Answers

Vayne vs Twitch?

Hi guys. I recently returned to League, after a long break. I've been checking out all the Marksmen, and I've been thinking about playing Twitch or Vayne. Who do you prefer?

View (3) Answers

I have a strategy can you guys tell me if it will work in ranked or no?

I just wanted to share a strategy me and my friends came up with we call it the submarine tactic. So what we need first is a twitch and a shen. Next what we would do is have twitch get into a postion were he can successfully get behind there enemy...

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What the ball sacks is the circle???

What the ball sacks if the circle that appears around twitch every time he aa's an enemy champion. I don't really see it doing anything but that's just me. What the ball sacks does it do?

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Which ADC is the best in the game?

So my friend said that Vayne is the best ADC in the game, I look some forums up and saw that Ezreal is the best. I think its Quinn and Caitlyn. I want to see what you guys think.

View (17) Answers

Twitch jungler still viable after rework ? [SEASON 3]

Hello guys I am here again to ask if jungler Twitch is viable after his rework, I've already tried maxing R> Q (gank)> E> W but I wanted to know your opinion. tell me if you can still do. P.S. for viable mean if you can win a ranked game...

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Why do people hate Twitch as ADC?

I love playing Twitch as ADC. Basically, if I need to play ADC, I 80% of the time pick [[Twitch]]. [color=#0080ff]However, each time I pick him, people always say to me this:[/color] [color=#00ffff]Apple King: Bro, don't pick Twitch, he is...

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