S+

Best Fizz Build & Stats for Mid, Emerald+

Patch 26.19
Overview Matchups Patch History
2.9%11.8%83.3%0.6%1.3%
Rank
S+
2/162
Winrate
52.2%
+0.3%
Pick
5.2%
-1.0%
Games
128.3k
-25.7k
Ban
7.4%
0.0%
Highest Ranked Fizz OTPs
Player
Rank
OTP%
Loading highest ranked OTPs
Lane Advantages
CS difference @ 15 -4.0
XP difference @ 15 -29
Gold difference @ 15 +320
First blood 14.6%
2
First to level 2 30.6%
Best Fizz Mid Build – Runes, Items & OTP Tips for Patch 26.19

Discover the best Fizz Mid build for Patch 26.19. Compare high-win-rate Fizz runes and items, popular build paths, key power spikes, and practical strategies from top-ranked Fizz players and one-tricks. Rated S+ and backed by data from 128,305 Emerald+ games across all available regions.

S+ Tier · Emerald+ · All Regions · Last 14 Days · 128,305 Games · Updated September 26, 2026 (UTC)

Player Base

Shows how popular the pick is and how heavily mains invest in it.

Games per player
Niche
Popular
Unpopular
Broad
Pick rate
Dragon Soul Winrate
Hextech Dragon icon
Hextech Dragon
88.2%
Cloud Dragon icon
Cloud Dragon
91.4%
Ocean Dragon icon
Ocean Dragon
88.4%
Chemtech Dragon icon
Chemtech Dragon
88.8%
Mountain Dragon icon
Mountain Dragon
89.0%
Infernal Dragon icon
Infernal Dragon
87.8%
Fizz Stats
Physical damage:
2,852
—
Magic damage:
19,826
—
True damage:
2,313
—
Total damage:
24,991
—
Damage taken:
23,939
—
Healing:
3,470
—
Kills:
9.40
—
Deaths:
6.45
—
Assists:
5.54
—
Max kill spree:
4.28
—
Gold:
13,082
—
Minions killed:
189.3
—
Jungle CS:
1.87
—
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Matchup Finder

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Keystone & Runes

51.83% Winrate 29.98% Pickrate
Summoner Spells
Best summoner spells for Fizz
Starting Items
Best starting items for Fizz