Press the Attack is the optimal keystone for Akshan mid in patch 15.3, boasting a 51.1% win 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 (46.0% WR)
• 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 during laning phase to avoid vulnerability to all-ins
2. Auto-attack before Q to stack passive procs efficiently
3. Use ultimate when enemy CC is on cooldown to prevent interruption

Basic Combo Auto-attack → Q → Auto-attack (maximizes passive proc damage and trades effectively)

The combination of these runes enhances Akshan's early game trading potential and provides defensive options through the Resolve tree, making it an effective setup for the mid lane role.

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