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RIn patch 15.14, Middle Tristana was played in 1,322 games in 
Emerald + tier, with a 48.18% win rate and a 0.66% pick rate. Current rank of the champion is 5 Tier, and the most popular core items include 
, 
, and 
The most popular runes include 
(
, 
, 
, 
) for primary path and 
(
, 
) for secondary path.
Tristana strong against 
, 
and 
but weak against Tristana include 
, 
, and 
.
Tristana performs strongest at 35-40 minutes with a 52.63% win rate and weakest at 40+ minutes with a 43.18% win rate.
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