The most successful core build features Profane Hydra, Axiom Arc, and Serylda's Grudge, which boasts a 53.3% win rate. Another effective option is Profane Hydra followed by Umbral Glaive and Serylda's Grudge, achieving a 51.7% win rate. For boots, Ionian Boots of Lucidity are the standard choice, picked in 69.0% of games.

The optimal rune page uses Electrocute from the Domination tree, combined with Sudden Impact, Grisly Mementos, and Treasure Hunter. For your secondary tree, take Precision with Last Stand and Presence of Mind. This specific configuration has a 26.4% pick rate and a 47.9% win rate.

Qiyana Mid is currently ranked in the A tier for patch 16.2.1. This indicates she is a strong and viable pick in the current meta for players who can manage her high difficulty. She maintains a 3.9% pick rate and a significant 11.3% ban rate.

Qiyana Mid has an overall win rate of 49.5% in Platinum+ ranked games. Her build-specific win rate is slightly lower at 47.5%. However, using her most successful items like Youmuu's Ghostblade can increase her win rate to as high as 56.0%.

Based on Platinum+ data, Qiyana may be difficult to pilot in low elo due to her 8/10 difficulty rating and 49.5% win rate. Her carry score is a moderate 5.6/10, suggesting she requires high mechanical skill to consistently win games. Players in lower ranks might struggle with her complex elemental mechanics and skill shots.

Yes, Qiyana is worth maining as she is an A tier assassin with a high skill ceiling and rewarding gameplay. Her difficulty rating of 8/10 means that dedicated practice can lead to much higher success than her average 49.5% win rate suggests. She remains a frequent ban target at 11.3%, showing her potential impact when mastered.

Her 49.5% win rate is balanced by her high mechanical difficulty and specific item reliance. While her general win rate is just below average, her performance spikes to 56.0% with Youmuu's Ghostblade and 53.3% with her Axiom Arc core build. This suggests her success is highly dependent on proper itemization and player proficiency.

The best first item is Youmuu's Ghostblade, which has a very high win rate of 56.0%. It provides the mobility and burst damage needed to secure early leads, though it is only picked in 3.5% of games. For starting items, Doran's Blade and a Health Potion are the standard choice for lane sustain and trading.

You should pick Qiyana when your team needs a high-burst AD assassin and you are comfortable with her 8/10 difficulty level. She is currently a solid A tier pick who excels in skirmishes and teamfights with her elemental ultimate. Keep in mind she is banned in 11.3% of matches, so you may need a backup champion.

Qiyana spikes when she completes her first major item, especially Youmuu's Ghostblade or Profane Hydra, and when she maxes her Q. Her win rate increases significantly with her core items, reaching up to 53.3% with her full three-item core. You should look to roam and force fights in the river or jungle where your elemental options are most versatile.

Qiyana is generally strongest in the mid-game where she can utilize her core items like Profane Hydra and Axiom Arc to delete priority targets. Her skill max order of Q > W > E ensures her damage scales quickly through the early levels. As a high-difficulty assassin, her late-game success relies heavily on landing a multi-man ultimate near terrain.

Qiyana received no direct changes in Patch 16.2.1. Her core build items and recommended runes also remained untouched this patch. Her performance and tier status are currently stable compared to previous iterations.

The provided data suggests a singular dominant rune setup using Electrocute with Precision secondary for 26.4% of games. This setup includes Last Stand and Presence of Mind, which are essential for her combat style and mana management. While specialized pages may exist, the Electrocute path is the most reliable choice for patch 16.2.1.