Press the Attack remains the optimal keystone for Akshan mid, maintaining a 51.1% win rate in patch 15.3. This build has a strong 64.4% pick rate across 8,908 matches.

Primary Runes (Precision):

• Press the Attack
• Presence of Mind
• Legend: Alacrity
• Coup de Grace

Secondary Runes (Resolve):

• Shield Bash
• Bone Plating

Strong Matchups:

• Smolder (60.3% WR)
• Yone (58.7% WR)
• Karma (58.6% WR)
• Zed (58.2% WR)
• Qiyana (58.1% WR)
• Aurora (57.9% WR)

Weak Matchups:

• Naafiri (42.7% WR)
• Irelia (44.1% WR)
• Diana (45.6% WR)
• Anivia (45.8% WR)
• Lissandra and Vex (46.0% WR)

Best Jungle Synergies:

• Karthus (57.0% WR)
• Hecarim (56.6% WR)
• Udyr (55.9% WR)
• Xin Zhao (54.6% WR)
• Gwen (54.1% WR)
• Amumu (54.0% WR)

Key Tips:

1. Conserve your E ability during laning phase to avoid vulnerability to all-ins
2. Auto-attack before Q to stack your passive efficiently
3. Time ultimate usage when enemy CC abilities are on cooldown

Combat Patterns:

• Lead with auto-attacks before Q to maximize passive proc potential
• Save E for escape or chase scenarios
• Use ultimate when enemies have exhausted their CC options

These strategies focus on maximizing Akshan's mobility and damage potential while maintaining safe positioning in lane.

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