Tristana Mid Lane is ranked Off Meta Tier and has a 46.26% win rate in LoL Patch 9.24. We've analyzed 7116 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 Heal. 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 Renekton, Azir, and Gangplank. Tristana's Best Mid Lane counters are Kennen, Kled, and Vel'Koz.
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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![]() | Q | Q | Q | Q | Q | |||||||||||||
![]() | W | W | W | W | W | |||||||||||||
![]() | E | E | E | E | E | |||||||||||||
![]() | R | R | R |
Tristana Trinkets



Tristana Boots





