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
D Win rate 39.47% Pick rate 1.38% Ban rate 0.51% KDA 1.93
89%

Twitch item build

Starter items

Boots

Core items

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