
The itemization for Twitch requires flexibility and adaptability. It's essential to carefully evaluate the game situation and the needs of your team to build a set of items that maximizes Twitch's effectiveness and support on the battlefield.
This is a standard burst build for Twitch: Sorcerer's Shoes provide maximum burst damage when the enemy team is squishy, chaining the passives given by other items to deal even more damage. Celestial Opposition has a passive that reduces incoming champion damage and slows nearby enemies upon losing the Blessed effect. It is very useful for Twitch, as it allows his to move closer when bursting damage, while being protected by the damage reduction from Celestial Opposition. Nashor's Tooth is a core item for Twitch that significantly boosts his on-hit damage and attack speed. It enhances his ability to apply poison stacks rapidly, synergizing well with his kit. The item also provides additional AP, further increasing the damage from E ( Contaminate). Twitch's second power spike is when she builds Shadowflame, which allows his to crit enemies below a certain threshold of HP, this is synergized by the passive in order to crit true damage. It doesn't end here because, when you build Rabadon's Deathcap, increasing your ap by 30%, it adds additional damage on true dmgs critted, allowing you to one-shot slowly the enemy. Finally, since in the late game there are always teamfights to win, the Runaan's Hurricane has a central role because by putting together the Twitch kit with the ap output it receives from the items, it will allow you to win teamfights if you are positioned well.

Celestial Opposition
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Zaz'Zak's Realmspike
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Choosing Celestial Opposition as a support item for Twitch is highly recommended when facing opponents with significant melee or ranged damage potential. Its passive, "Become Blessed," offers excellent utility in team fights by slowing surrounding enemies once the Blessed effect is lost. This item is particularly beneficial for Twitch, allowing him to execute a full combo in a duel while minimizing incoming damage, as it reduces a percentage of damage for 1-2 seconds. This brief window of reduced damage can be crucial for one-shotting enemies and escaping safely afterward. |
Zaz'Zak's Realmspike is a powerful item for Twitch when experiencing a hard snowball, as it maximizes his burst damage to secure as many kills as possible. Its passive significantly amplifies Twitch's damage output, allowing him to deal multi-target damage during skirmishes, making it particularly effective for quickly eliminating priority targets and dominating team fights. This item is especially valuable when Twitch is ahead, enabling him to maintain aggressive pressure on the enemy team and efficiently pick off enemies to extend his lead.
However, in the late game, it is often advisable to sell Zaz'Zak's Realmspike in favor of Celestial Opposition. Switching to Celestial Opposition enhances survivability through damage reduction and crowd control utility, which can be crucial during late-game team fights. Importantly, the missions associated with Zaz'Zak's Realmspike remain completed and will not reset when you make the switch, allowing you to adapt your build as the game progresses without losing progress. | 
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Blasting Wand Blasting Wand is an excellent item choice for Twitch AP support on your first recall. It provides a substantial boost to ability power, enhancing the damage of your abilities, especially W ( Venom Cask) and E ( Contaminate). This increase in AP allows Twitch to poke more effectively and deal significant burst damage during trades. The early investment in Blasting Wand helps establish lane dominance and improves your overall threat level, making it easier to secure kills or force enemy summoner spells. Additionally, it sets a strong foundation for building into core AP items later in the game.
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Recurve Bow Recurve Bow is a strong choice for Twitch AP support, particularly in the early game. It provides a solid boost to attack speed, which enhances Twitch's ability to apply poison stacks more rapidly with his passive, Deadly Venom. The increased attack speed also synergizes well with his abilities, allowing for more frequent basic attacks during trades and skirmishes.
In addition to boosting his on-hit damage, Recurve Bow helps Twitch maintain pressure in lane, making him a more formidable poke champion. It can be especially effective when combined with items that enhance on-hit effects, allowing Twitch to burst down squishy targets quickly.
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Fiendish Codex Fiendish Codex is an excellent item for Twitch AP support, providing a boost to ability power and cooldown reduction. The additional AP enhances the damage of W ( Venom Cask) and E ( Contaminate), making Twitch more effective at poking and bursting enemies.
The cooldown reduction allows Twitch to use his abilities more frequently, increasing his overall damage output and utility in skirmishes and team fights. This is particularly valuable for maintaining pressure in lane and contributing to engages or peel for allies.
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Amplifying Tome Amplifying Tome is a solid choice for Twitch AP support when building towards Nashor's Tooth. This item provides a nice early boost to ability power, enhancing the damage of W ( Venom Cask) and E ( Contaminate), allowing Twitch to poke and trade effectively in lane.
By incorporating Amplifying Tome into your build, you can maximize your burst damage potential and make the most of Nashor's Tooth once it's completed. The additional AP helps you apply poison stacks more efficiently and increases the overall threat level in skirmishes and team fights.
Furthermore, Amplifying Tome is an inexpensive item that allows for an early power spike, enabling Twitch to apply pressure and secure kills as you work toward completing Nashor's Tooth.
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Dark SealThe Dark Seal is a high-risk, high-reward item that is often purchased by Twitch support for its potential to snowball games. It provides 15 Ability Power and 50 Health, and it has a unique passive that grants additional Ability Power for each stack of Glory, with a maximum of 10 stacks. You gain stacks for champion takedowns (kills or assists), making it an item that rewards aggressive play and successful skirmishes. Here's a closer look at the risks and benefits of this item:
Benefits:
- Cost-Effective Power Spike: At a low cost of 350 gold, the
Dark Seal provides an efficient boost in Ability Power and health, making it an attractive early-game item for amplifying Twitch’s damage output.
- Snowball Potential: The unique passive allows
Twitch to increase his Ability Power significantly by gaining stacks. Each kill grants 2 stacks, and each assist grants 1 stack, with a maximum of 10 stacks providing up to 55 Ability Power when fully stacked.
- Synergy with
Mejai's Soulstealer: The Dark Seal builds into Mejai's Soulstealer, an item that can further increase your Ability Power based on stacks. This synergy can lead to explosive damage potential if you manage to maintain and increase your stacks without dying.
Risks:
- Stack Loss on Death: One of the main risks of building a
Dark Seal is losing 5 stacks upon death. This can significantly reduce your Ability Power if you have built up many stacks, making it a risky item to rely on if you are frequently caught out or targeted by the enemy team.
- Reliance on Aggression: The effectiveness of the
Dark Seal heavily depends on your ability to secure kills and assists. If you are unable to participate in takedowns, the item provides relatively low value compared to other Ability Power items.
- Potential to Snowball Backwards: While the item can help you snowball when ahead, it can also set you back if you are unable to maintain stacks. This makes it crucial to balance aggressive plays with safe positioning, especially in team fights.
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BootsYou will buy Boots if you have excess gold which will later allow you to buy more important boots. They are very useful for roaming and returning to lane sooner. Later I will better describe which ones to opt for based on the situations.
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Control WardPurchasing a Control Ward on the first recall with Twitch in the bot lane can be crucial for maintaining vision control and preventing enemy ganks or roams. If you find yourself pushed back to base earlier than expected, it may indicate that your lane is struggling or that the enemy jungler has been applying pressure. Buying a Control Ward allows you to regain vision in key areas of the map, such as the river or the enemy jungle entrances, helping to prevent further setbacks and allowing you to safely resume laning. Additionally, placing a Control Ward in the river bush or the enemy tri-bush can provide valuable information about the enemy's movements, potentially averting future ganks and enabling your team to make informed decisions.
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When playing Twitch support, the choice of boots can significantly impact his performance and effectiveness in different scenarios. Here’s a breakdown of when to build each type of boots:
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 Sorcerer's Shoes
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 Mercury's Treads
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Nashor's Tooth Nashor's Tooth is a crucial first item for Twitch AP support due to its unique synergy with his kit. It significantly increases his on-hit damage, which is essential for maximizing the effectiveness of his passive, Deadly Venom. This added damage allows Twitch to burst down squishy targets quickly, making him a formidable threat in the early game.
In addition to enhancing on-hit damage, Nashor's Tooth provides a substantial boost to attack speed. This allows Twitch to apply poison stacks more rapidly, making his trades and skirmishes much more effective. The increased attack speed helps him maintain pressure in lane and capitalize on opportunities to secure kills.
Moreover, the item grants ability power, further enhancing the damage of his abilities, particularly W ( Venom Cask) and E ( Contaminate). This increase in AP makes Twitch more potent in poking enemies and bursting them down during team fights.
Finally, the passive effect of Nashor's Tooth allows for more frequent ability usage, increasing Twitch's overall damage output and utility in skirmishes. This enables him to engage or disengage more effectively, enhancing his impact during crucial moments in the game.
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Shadowflame
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Rabadon's Deathcap
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Shadowflame is an excellent choice as a second item for Twitch AP support, particularly when aiming to enhance burst potential and secure kills on low-health targets. It provides Twitch with a significant boost of 110 Ability Power and 15 Magic Penetration, increasing the damage output of his abilities, especially against enemies with some magic resist.
The unique passive of Shadowflame, which increases magic damage and true damage by 20% against enemies below 40% health, synergizes perfectly with Twitch's playstyle as an ADC-mage support. This allows him to execute low-health targets more effectively, making it easier to secure kills during skirmishes or team fights. The critical strike bonus is particularly valuable for finishing off opponents who may try to escape, enhancing Twitch's kill potential.
Building Shadowflame as a second item instead of Rabadon's Deathcap is often advisable when the enemy team has champions with lower health pools or when you need to maximize burst damage quickly. Shadowflame allows Twitch to capitalize on his ability to poke and burst down enemies while still providing a substantial AP boost. By opting for this item, Twitch can maintain aggressive pressure and effectively contribute to team fights without sacrificing damage output. Overall, Shadowflame is a crucial item that enhances Twitch's effectiveness as an AP support, especially in securing kills and exerting pressure on the enemy team. |
Rabadon's Deathcap is a powerful second item choice for Twitch AP support when you want to maximize damage output and enhance burst potential. With 130 Ability Power, it significantly boosts Twitch's ability to deal magic damage, making it a key component in his build.
The unique passive of Rabadon's Deathcap increases your Ability Power by 30%, meaning that all your AP items contribute more to your total damage. This amplification effect is particularly effective in the late game or as a third major item, providing a substantial boost that allows Twitch to execute enemies with even greater efficiency.
Building Rabadon's Deathcap as a second item is ideal when you are already ahead and looking to maximize your damage output in team fights or when finishing off high-value targets. It synergizes well with other AP items, turning Twitch's already high burst damage into a devastating force. This item is especially effective when the enemy team has not heavily invested in magic resistance, allowing you to capitalize on your damage potential.
In situations where the enemy team is building magic resist, it might be more beneficial to prioritize items like Cryptbloom first to ensure you can penetrate their defenses. However, if you’ve already built Cryptbloom and the game is progressing well, switching to Rabadon's Deathcap can offer a significant increase in overall damage output, amplifying your burst potential and making you a more formidable threat in team fights and skirmishes. | 
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Cryptbloom Cryptbloom is an invaluable item for Twitch AP support, offering a blend of damage, utility, and cooldown reduction, making it a versatile choice in his item build. With a total price of 2850 gold, it provides 60 Ability Power, 30 Magic Penetration, and 15 Ability Haste. These stats enhance Twitch's burst damage and ability to apply pressure on the enemy team while the unique passive adds significant utility in team fights.
The 60 Ability Power boosts Twitch's damage output, while the 30 Magic Penetration ensures that his abilities can effectively cut through enemy magic resistance, amplifying damage against both squishy targets and those with some magic resist. This combination makes Cryptbloom a potent item for maximizing Twitch's damage during mid-game skirmishes and team fights, representing a key power spike in his build.
The 15 Ability Haste is particularly valuable for reducing cooldowns on Twitch's abilities, allowing him to engage and disengage more frequently, maintaining a higher level of pressure throughout fights. This contributes to his ability to execute high-impact combos more often, increasing his threat level to the enemy team.
The unique passive of Cryptbloom creates a healing nova at the location of an enemy champion that you recently damaged and subsequently took down. This nova heals allies for 100 (+25% of Ability Power) and has a 60-second cooldown. This passive adds significant team utility, providing an AoE healing effect that can be crucial in prolonged engagements. The healing can turn the tide in fights by sustaining your team and enabling them to remain in the fray longer, especially when combined with Twitch's burst damage to secure quick takedowns.
Overall, Cryptbloom is a powerful item for Twitch AP support because it combines damage enhancement with valuable utility. The item acts as a strong power spike by boosting his ability to deal magic damage while providing a healing benefit that supports the team. This makes it a highly effective choice when looking to maximize both individual impact and team contribution during the mid-game and early late-game phases.
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Void Staff Void Staff is a powerful item for Twitch AP support that provides 95 Ability Power and 40 Magic Penetration. It becomes essential when facing opponents who build significant magic resistance, such as tanks like Leona, Rell, or Sejuani. This item allows Twitch to cut through high amounts of magic resist, maximizing his damage output against these tanky champions.
However, due to its higher cost of 3000 gold compared to Cryptbloom, and its more specialized use, Void Staff is often built later in the game or as a secondary item. While the increased Magic Penetration is crucial for dealing damage to heavily armored opponents, Void Staff lacks the utility that Cryptbloom offers. Cryptbloom provides not only 60 Ability Power and 30 Magic Penetration but also grants 15 Ability Haste and has a unique passive that heals allies upon takedowns. This healing nova can significantly impact team fights by providing additional sustain, which is especially valuable in extended engagements.
In summary, Void Staff is indispensable for dealing with high magic resist opponents, but its higher cost and lack of utility make it a less frequent choice compared to Cryptbloom. Cryptbloom is often built earlier for its versatility and overall effectiveness in a broader range of situations, especially when you need to contribute to team fights through healing and ability haste. Therefore, prioritize Void Staff when facing opponents who heavily invest in magic resistance, but consider building Cryptbloom first for its utility and damage enhancement in various scenarios.
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Runaan's Hurricane Runaan's Hurricane is an essential final item for Twitch AP support, significantly enhancing his ability to influence teamfights and spread his Deadly Venom. Although it's typically seen as an item for AD champions, it finds a unique place in AP Twitch's build because of its ability to apply Deadly Venom to multiple targets with each basic attack. This interaction is critical for Twitch's damage output, as it allows him to hit several enemies at once, setting up for a massive Contaminate (E) that can deal heavy AoE damage.
The real power of Runaan's Hurricane lies in how it synergizes with Spray and Pray (R). When Twitch activates his ultimate, his auto-attacks gain extended range and can hit multiple enemies from a safe distance. Paired with Runaan's Hurricane’s, each attack now applies poison to three targets instead of just one, dramatically increasing his ability to control fights. This makes Runaan's Hurricane’s particularly valuable in late-game scenarios where spreading Deadly Venom across the entire enemy team can soften them up for follow-up abilities or a devastating Contaminate.
Choosing Runaan's Hurricane’s as the final item ensures that Twitch AP maximizes his utility and damage in teamfights. By this stage, Twitch has likely built significant ability power and magic penetration, making his poison incredibly potent. Runaan's Hurricane’s helps apply that damage to multiple targets simultaneously, allowing him to be a consistent threat throughout extended teamfights. It turns Twitch into a high-damage AoE presence, amplifying his burst potential and enabling him to outplay teams by applying pressure to multiple champions at once.
Runaan's Hurricane is decisive as a final item because it amplifies Twitch's ability to hit multiple enemies with his poison, leading to stronger Contaminate bursts and more impactful teamfights. The item transforms his playstyle from single-target focus to an AoE threat, making him a dangerous champion capable of swinging the tide of late-game fights.
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Zhonya's Hourglass Zhonya's Hourglass is an essential situational item for Twitch AP support, particularly when facing teams with heavy AD (attack damage) compositions or dangerous enemy assassins like Zed, Talon, or Kha'Zix. With 105 Ability Power and 50 Armor, Zhonya's Hourglass not only boosts Twitch's damage output but also provides valuable survivability against physical damage threats.
The core strength of Zhonya's Hourglass lies in its unique active ability, which allows Twitch to enter stasis for 2.5 seconds. During this time, he becomes untargetable and invulnerable, rendering him immune to all damage and crowd control effects. This stasis can be crucial for dodging lethal abilities, such as Zed's Death Mark or Kha'Zix's burst, effectively nullifying their kill potential. By timing the activation of Zhonya's Hourglass correctly, Twitch can outplay enemy assassins and avoid being burst down in critical moments.
Building Zhonya's Hourglass as a situational item is particularly advantageous when the enemy team comprises mostly AD champions or when they have fed AD threats. The 50 Armor helps mitigate incoming physical damage, making it harder for AD champions to eliminate Twitch quickly. This is especially useful in games where the enemy team relies heavily on AD-based champions to carry fights, as it allows Twitch to survive longer and contribute more to skirmishes and teamfights.
Moreover, Zhonya's Hourglass can be a game-changer in team fights. By going into stasis, Twitch can disrupt the enemy team's focus, absorbing key abilities and buying time for his team to reposition or retaliate. This can be particularly effective if Twitch has already engaged and dealt significant damage, as it forces the enemy to either waste cooldowns on his stasis or redirect their attention elsewhere. Using Zhonya's Hourglass strategically in a teamfight can help turn the tide in your favor, providing your team with an opportunity to capitalize on the disruption and secure advantages.
In conclusion, while Zhonya's Hourglass is not always the go-to second item for Twitch AP support, it is an excellent choice in games where you face heavy AD threats or dangerous enemy assassins. Its active ability provides a critical tool for outplaying opponents and surviving dangerous situations, while the additional Armor helps Twitch withstand physical damage. When built in the right circumstances, Zhonya's Hourglass can significantly enhance Twitch's survivability and impact in fights, allowing him to continue being a dominant presence on the battlefield.
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Banshee's Veil Banshee's Veil is a valuable situational item for Twitch AP support when you need to counter heavy AP (ability power) compositions or deal with high amounts of crowd control. It provides 105 Ability Power and 40 Magic Resistance, boosting both Twitch's damage output and survivability against magic damage.
The unique passive of Banshee's Veil grants a spell shield that blocks the next incoming enemy ability, with a cooldown of 30 seconds. This shield can be crucial for protecting Twitch from key crowd control effects or critical abilities that could otherwise prevent him from executing his combos or engaging effectively. The cooldown of the shield is reset if he takes damage from champions, making it essential to time engagements and positioning to maximize the shield's effectiveness.
Building Banshee's Veil is particularly useful in matches where the enemy team has strong AP champions or significant crowd control. It allows Twitch to engage more safely, mitigate incoming damage, and avoid being locked down by crucial enemy abilities. This is especially important when facing champions who can easily burst him down or disrupt his positioning, such as Ahri, Lissandra, or Anivia.
In summary, while Banshee's Veil is not always a core item for Twitch AP support, it becomes an excellent choice in situations where survivability against AP threats and crowd control is critical. The combination of increased Ability Power and the spell shield makes it a strategic addition to enhance Twitch's presence in team fights and improve his ability to maneuver in high-pressure scenarios.
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Mejai's Soulstealer Mejai's Soulstealer is a situational item for Twitch that can be highly effective when you're experiencing a strong snowball and are looking to capitalize on your momentum. Priced at 1600 gold, it provides 20 Ability Power and 100 Health, enhancing your survivability and damage output.
The unique passive of Mejai's Soulstealer allows you to gain 4 stacks for each champion kill and 2 stacks for assists, up to a maximum of 25 stacks. If you reach 10 stacks, you gain an additional 5 Ability Power per stack and 10% bonus movement speed. This makes the item particularly valuable for snowballing scenarios where you are consistently securing kills and assists. The increased damage and movement speed from stacking Mejai’s can significantly boost your effectiveness in skirmishes and teamfights.
However, if you die, you lose 10 stacks, which can set back your progress and reduce the item's benefits. Therefore, Mejai's Soulstealer is best used when you’re ahead and can leverage its snowball potential, maximizing your burst damage and mobility. It’s less reliable in games where the risk of dying is high or if you are not able to build up stacks quickly. In those cases, focusing on more consistent power items like Shadowflame or Cryptbloom might be more prudent.
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