Twitch build for Mid Patch 14.23

Detail build guide Twitch build or position Mid with the highest win rate. Runes, items, and skill build guide in Patch 14.23.
Twitch
Twitch the Plague Rat
Deadly Venom Ambush Q Venom Cask W Contaminate E Spray and Pray R
C Win rate 46.03% Pick rate 4.03% Ban rate 3.10% KDA 2.31
81%

Twitch runes

25.00% WR (4 Matches)
Domination Domination
Electrocute Dark Harvest Hail of Blades
Cheap Shot Taste of Blood Sudden Impact
Zombie Ward Ghost Poro Eyeball Collection
Treasure Hunter Relentless Hunter Ultimate Hunter
Precision Precision
Press the Attack Lethal Tempo Fleet Footwork Conqueror
Absorb Life Triumph Presence of Mind
Legend: Alacrity Legend: Haste Legend: Bloodline
Coup de Grace Cut Down Last Stand
DEFENSE FLEX FLEX OFFENSE OFFENSE OFFENSE FLEX DEFENSE DEFENSE

Twitch Summoner spells

Flash Barrier
14.29% WR (7 Matches)

Twitch item build

Starter items

Doran's Blade Health Potion
33.33% WR (6 Matches)

Boots

Berserker's Greaves
42.86% WR (7 Matches)

Core items

Nashor's Tooth Rabadon's Deathcap Lich Bane
0.00% WR (1 Matches)

Twitch skill order

Skill Priority

Contaminate E Ambush Q Venom Cask W
60.00% WR (5 Matches)

Skill Path

Ambush Q
Ambush
1 8 10 12 13
Venom Cask W
Venom Cask
3 14 15
Contaminate E
Contaminate
2 4 5 7 9
Spray and Pray R
Spray and Pray
6 11
Deadly Venom P
Deadly Venom

Twitch combos

Basic A + W + A + E
Medium A + W + Q + A + E
Hard Q + W + R + AAAA + E
Twitch combos
Basic A + W + A + E
Medium A + W + Q + A + E
Hard Q + W + R + AAAA + E