Latest Cassiopeia build for League of Legends with items, runes, summoner spells, skill order, counters and patch data.
Mid lane is where Cassiopeia posts her numbers: a 48.88% winrate from a 1.4% pick rate on patch 16.13.1. Current ranked data calls her a demanding pick, though top lane shows up as a secondary role for players ready to adjust. Deathfire Touch serves as her keystone, layering damage over time onto her poison-stacking combos.
Start with E, follow with Q, then pick up W, since that order gets twin fang’s poison onto targets fastest. Her core runs Tear of the Goddess, Rod of Ages, and Seraph’s Embrace, a mana-scaling setup that raises her damage and durability at the same time. The full item order, rune page, and matchup counters follow below.
Imported from op.gg · updated every 48 hours · last update Nov 10, 2026.
Deathfire Touch
Manaflow Band
Transcendence
Scorch
Presence of Mind
Coup de Grace
Adaptive Force
Adaptive Force
Health Scaling
Flash
TeleportLevels shown as recorded in ranked data; R is highlighted at its level-up points.
Win rates are Cassiopeia's results against each champion, imported from op.gg.
Based on current ranked data (op.gg, patch 16.18.1), the strongest recorded Cassiopeia build in Middle goes Tear of the Goddess, Rod of Ages, Seraph's Embrace, Rylai's Crystal Scepter as core items, with a 47.66% win rate across 19,047 games.
The most played rune page runs Deathfire Touch (Sorcery) with Precision as the secondary tree.
Tear of the Goddess, Rod of Ages, Seraph's Embrace, Rylai's Crystal Scepter.
Based on real matchup data, Cassiopeia struggles most against Talon, Fizz, Kassadin.
Build and counter data is refreshed automatically every 48 hours from ranked game statistics.