The most effective core build for Elise Support includes Stormsurge, Zhonya's Hourglass, and Shadowflame, which boasts a 51.5% win rate. You should also prioritize Sorcerer's Shoes as your boots, which have a 52.1% win rate. This build focuses on maximizing her burst damage as an assassin-mage.

You should use the Electrocute rune from the Domination tree along with Sudden Impact, Deep Ward, and Relentless Hunter. For your secondary tree, select Precision with Coup de Grace and Triumph. This specific rune setup currently has a 50.9% win rate and a 34.4% pick rate.

Elise Support is currently ranked in the A tier for Patch 16.2.1. While she is a niche pick with a low 0.8% pick rate, she maintains a solid 50.0% win rate in Platinum+ games. Her high difficulty rating of 9/10 indicates she is effective but requires significant skill to master.

Elise currently holds a 50.0% win rate in the Support role based on 468 games analyzed in Platinum+ rank. Her build-specific win rate also stands at 50.0%, showing she is a balanced choice for players who know how to utilize her kit. Her performance has remained stable with no recent changes to her or her core items.

Since the data is collected from Platinum+ games where she has a 50.0% win rate, her effectiveness in lower tiers depends heavily on individual skill. Given her 9/10 difficulty and reliance on hitting skill shots, she may be challenging for less experienced players. Her low carry score of 5.3/10 also suggests she might struggle to take over games single-handedly.

Elise is a viable choice to main if you enjoy a high-skill-ceiling assassin-mage playstyle, as she is currently A tier. However, her low pick rate of 0.8% and high difficulty mean you will need to invest a lot of time to see consistent results. She is best for players who want a unique, aggressive support option.

Her win rate of 50.0% is quite balanced and is likely due to the lack of changes affecting her in Patch 16.2.1. She benefits from a strong synergy with items like Stormsurge, which has a 52.4% win rate. Her stability comes from her specialized role as a pick-oriented support in the hands of experienced players.

Stormsurge is the best first item for Elise, holding a 52.4% win rate and a high 79.1% pick rate. It provides the necessary burst damage and early power she needs to function as an aggressive mage. This item choice is the most popular across 370 games analyzed.

Consider picking Elise Support when your team needs magic damage and you are confident in your ability to land her abilities. She is an A tier pick with an 50.0% win rate, making her a solid choice if you can handle her 9/10 difficulty. She is particularly effective if you can exploit her early-game aggression with Flash and Ignite.

Elise's primary power spike occurs once she completes Stormsurge, which has a 52.4% win rate as a first item. You should play aggressively around this timing using Flash and Ignite to secure picks for your team. Her early-game dominance is her greatest strength given her high burst potential.

Elise is strongest in the early and mid-game where her burst damage and Flash-Ignite combo can easily punish enemies. As a mage-assassin, her impact can diminish in the late game if she cannot find a clean pick on a priority target. Her low carry score of 5.3/10 reflects her difficulty in carrying games that go late.

Elise received no direct changes in Patch 16.2.1, and her core items remained the same. This means her performance is consistent with the previous patch cycle. Her current 50.0% win rate reflects her status in a stable meta environment.

The standard Electrocute and Precision setup is highly effective with a 50.9% win rate across 34.4% of games. While specific matchup data is not available, this build is the most reliable for providing the burst and sustain needed in lane. Stick to this primary setup unless you have a specific reason to deviate based on your lane opponents.