Thresh ADC is ranked Off Meta Tier and has a 60.66% win rate in LoL Patch 7.24. We've analyzed 51 Thresh ADC games to compile our statistical Thresh Build Guide. For items, our build recommends: Berserker's Greaves, Statikk Shiv, Infinity Edge, Essence Reaver, Rapid Firecannon, and The Bloodthirster. For runes, the strongest choice is Precision (Primary) with Press the Attack (Keystone), and <pathBonus><pathPrecision>Precision</pathPrecision> + <pathDomination>Domination</pathDomination> </pathBonus> (Secondary). The optimal Summoner Spells for this build are Flash and Heal. Starting items should include Health Potion, Doran's Blade, Long Sword, Doran's Shield, and Warding Totem (Trinket). Thresh's Best ADC matchups include Caitlyn and Varus. Thresh's Best ADC counters are Vayne and Miss Fortune.
Thresh Summoner Spells
Thresh Starting Items
Thresh Runes
Thresh Items
Thresh Skill Order
 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 | Q | Q | Q | Q | Q | |||||||||||||
 | W | W | W | W | W | |||||||||||||
 | E | E | E | E | E | |||||||||||||
 | R | R | R |
Thresh Trinkets
Thresh Boots
Best Support Duo Queue Champions for Thresh ADC(over 51% win rate with Thresh)
Average Support Duo Queue Champions for Thresh ADC(49% - 51% win rate with Thresh)
Below Average Support Duo Queue Champions for Thresh ADC(under 49% win rate with Thresh)
Even ADC Matchups for Thresh ADC(49% - 51% win rate for Thresh)
