Tristana Mid Lane is ranked B Tier and has a 49.03% win rate in LoL Patch 9.24. We've analyzed 16805 Tristana Mid Lane games to compile our statistical Tristana Build Guide. For items, our build recommends: Berserker's Greaves, Blade of the Ruined King, Infinity Edge, Rapid Firecannon, Phantom Dancer, and Bloodthirster. For runes, the strongest choice is Precision (Primary) with Press the Attack (Keystone), and Resolve (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Health Potion, Doran's Blade, Doran's Shield, Long Sword, and Warding Totem (Trinket). Tristana's Best Mid Lane matchups include Sylas, Azir, and Morgana. Tristana's Best Mid Lane counters are Nocturne, Mordekaiser, and Wukong.
Tristana Summoner Spells






Tristana Starting Items





Tristana Runes
Tristana Items








Tristana Skill Order
![]() | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
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![]() | W | W | W | W | W | |||||||||||||
![]() | E | E | E | E | E | |||||||||||||
![]() | R | R | R |
Tristana Trinkets



Tristana Boots





