Miss Fortune Best Build Guide: Should You Go Lethality or Bloodthirster in High Elo?

December 1, 2025
This article was created by STATUP.GG, an AI-powered voice coaching platform that helps League of Legends players play smarter and more confidently.


In Patch 25.23, Miss Fortune received a buff that increased the total scaling on her ultimate. Thanks to her low mechanical difficulty and simple gameplay pattern, she continues to stay at the top of the pick-rate charts across all regions. After this patch, players are once again debating which build offers the highest efficiency.

The difference in feel between a Bloodthirster centered auto-attack build and a lethality focused skill damage build varies significantly depending on Miss Fortune’s kit and team composition. This article breaks down everything from her skill details to build criteria and composition based play, then identifies the most effective choice for Patch 25.23.

Key Things to Understand About Miss Fortune’s Skill Structure

Miss Fortune’s abilities look simple at first, but several hidden details directly influence how effective certain items become.

Her passive is designed to deal bonus damage whenever she hits a new target. For example, even if you alternate your attacks between a turret, a minion, and then the turret again, the passive continues to activate. This repeated bonus damage works very well with lifesteal effects.

Her Q applies damage twice, once on the initial hit and once on the bounce, and both instances apply on-hit effects. This greatly increases its synergy with lifesteal items.

Her W increases her movement speed while she is not taking damage, and when the Bloodthirster shield is active, it becomes much easier to keep that state. This allows her to maintain the movement speed boost for a longer period of time.

When you look at how her passive, Q, and W interact, the reason high-elo players often build Bloodthirster first becomes clear. The lifesteal is very effective on her, the shield is easy to maintain, and this stability lets her keep the movement speed from W consistently throughout fights.

Why Miss Fortune Prefers Lethality Items

Unlike other auto attack focused marksmen, Miss Fortune’s abilities do not directly enhance her basic attacks. She functions very differently from champions like Vayne, Twitch, Kog’Maw, Varus, Jhin, or Yone, who rely heavily on auto attack based DPS.

Miss Fortune instead plays by

  • Building attack speed through W
  • Bursting with her passive and Q
  • Dealing large amounts of AoE skill damage with her ultimate.

In this kind of structure, lethality items, which are cost-efficient early and focus on boosting skill damage, accelerate her power spike much faster than a critical strike build that relies on slowly stacking auto attack DPS.

Since a large portion of her damage comes from abilities, and both her Q and ultimate benefit heavily from armor penetration, lethality builds create excellent synergy with Miss Fortune.

Why Bloodthirster as a First Core Item Has High Value in High Elo

In pro play and high elo, team compositions are usually more balanced. It is common to see drafts that include a tank, sustained damage, burst damage, and a relatively even split between AD and AP. Wave control in mid lane and creating turns through tempo are also much more important in these environments.

In this kind of setting, the reason Miss Fortune builds Bloodthirster as her first item becomes clear. Bloodthirster offers far more than simple lifesteal.

  • Strong lane sustain and trading power
  • An advantage in early mid wave control
  • Greatly improved survivability

In short, the main reason Bloodthirster is favored as a first core item is that it provides both utility and stability in the macro-focused environment of high-elo games.

Build Choice Criteria Based on the Situation

In ranks below the very top, it is common to face team compositions that lack a frontline or include multiple assassins. In these situations, Miss Fortune often struggles to deal consistent auto attack damage.

An auto attack focused build with Bloodthirster and critical strike items is a good choice only when you can reliably land at least three or more consecutive auto attacks and when your support, top, or jungle provides enough frontline to protect you.

When your team has no frontline and the enemy composition includes two or more burst-oriented champions, the situation changes completely. In these cases, Miss Fortune often does not even have the time to land several auto attacks, and the expected value of a well-positioned ultimate that follows up on allied crowd control is far higher than trying to output sustained auto attack damage.

For this reason, in such environments, a skill damage focused lethality build is much more effective than a Bloodthirster centered auto attack build.

Miss Fortune’s Laning Patterns, Synergistic Champions, and Counters

In the laning phase, Miss Fortune should always be aware that she has strong burst damage but relatively weak sustained damage. Her Q skill bounces from you to a minion and then to the enemy, so the key is positioning yourself so that the line from you to the minion to the opponent stays straight. Good movement is essential for consistently finding good Q angles.

Champions who pair well with Miss Fortune are supports with strong crowd control that allow her to channel her ultimate for longer.

  • Nautilus: His passive, Q, E, and R all provide crowd control
  • Leona: Q, E, and R are crowd control abilities
  • Maokai: W, Q, and R are crowd control abilities

On the other hand, she struggles against champions who can block or interrupt her ultimate.

  • Yasuo, Braum, Samira: They can block her ultimate with their wall or shield abilities
  • Long-range CC champions such as Leona or Ashe: Can stop her ultimate instantly from a distance

When facing these champions, careful positioning becomes extremely important.

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For more detailed insights on optimal bot lane pairings, you can check out the following guide:
https://statup.gg/post/best-adc-support-synergies-league-of-legends-2025