Low sample. 21 games, fewer than 1,000. Read these numbers as rough.
Build
Most played of 21 games
Start
DsHp
56% · 20.0% won
Spells
FlTe
57% · 50.0% won
The 4th and 5th items and the measured skill path are counted server by server, so they are not in this total. See them on EUW
Questions
Which summoner spells do Thresh Top players take?
Flash and Teleport, in 57% of 21 games in Master and above, patch 26.21, 50.0% win rate.
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