The most effective core build for Fizz Mid in Patch 16.2.1 consists of Luden's Echo, Lich Bane, and Zhonya's Hourglass, which has a 59.3% win rate. Another excellent choice is the combination of Lich Bane, Zhonya's Hourglass, and Rabadon's Deathcap with a 56.5% win rate. You should start with Doran's Ring and Health Potions and prioritize Sorcerer's Shoes for your boots.

For Fizz Mid, the optimal rune setup uses Electrocute as the primary keystone from the Domination tree, followed by Sudden Impact, Grisly Mementos, and Treasure Hunter. For your secondary tree, pick Sorcery with Scorch and Transcendence. This specific configuration has a 53.5% win rate and is chosen in 36.2% of games.

In the current 16.2.1 patch, Fizz Mid is ranked as a B Tier champion. He has a carry score of 4.9 out of 10, indicating he is a middle-of-the-pack choice. This rating is based on 2,844 games analyzed in Platinum+ rankings.

Fizz currently holds an overall win rate of 46.8% in Mid lane across Platinum+ games. While his general win rate is lower than average, his build-specific win rate reaches a more healthy 51.4% when using recommended items. His pick rate is 2.8%, with a low ban rate of 1.1%.

Since the data is from Platinum+ rankings where he has a 46.8% win rate, Fizz is a challenging but viable pick in lower ranks. His B Tier status and carry score of 4.9/10 suggest he can be effective if played correctly. However, his 6/10 difficulty rating means players must be comfortable with his Assassin mechanics to succeed.

Fizz is worth maining if you enjoy high-mobility Assassins, as his best builds maintain win rates between 56.5% and 59.3%. While his overall 46.8% win rate is low, dedicated players who master his E > W > Q skill order can find success. His low ban rate of 1.1% also makes him easy to pick consistently in ranked games.

Fizz's win rate of 46.8% is currently on the lower side, likely because he received no changes or buffs in Patch 16.2.1. His performance relies heavily on specific item completions, as seen by his 51.4% build-specific win rate. Without direct updates, he remains a balanced B Tier champion that depends on player skill.

The best first item for Fizz Mid is Stormsurge, which boasts a high 55.8% win rate. Although it has a low pick rate of 1.5% in the analyzed games, it provides the burst necessary for his Assassin role. Most players start with Doran's Ring and then transition into these high-impact ability power items.

You should pick Fizz Mid when your team needs a dedicated Assassin or Fighter who can eliminate key targets using Flash and Ignite. He is a solid choice when you are comfortable with a 6/10 difficulty rating and can manage his B Tier power level. He is particularly effective when you can exploit his high build-specific win rates.

Fizz's primary power spike occurs in the mid-game once he completes his first core item like Stormsurge or starts his Luden's Echo build. He also gains significant strength as he maxes his E, W, and Q skills in that order. You should play around his mobility and use Ignite to secure early kills that lead into these item spikes.

Fizz is strongest in the mid-game where his Assassin and Fighter class traits allow him to roam and burst down targets. His carry score of 4.9/10 and his skill max order (E > W > Q) suggest he excels during skirmishes once he has items like Lich Bane. His early game is focused on reaching these item milestones through consistent lane pressure.

In Patch 16.2.1, Fizz did not receive any direct buffs or nerfs. There were also no changes to his core items or the runes used in his most popular builds. He remains in the same state as previous patches, maintaining his B Tier status.

The data shows that the Electrocute page with Sorcery secondary (Scorch and Transcendence) is highly effective with a 53.5% win rate. There are no other rune sets listed with comparable data, so sticking to this primary path is recommended for most matchups. This setup maximizes his burst and cooldown reduction for consistent performance.