Fizz's spells scale off Ability Power - consider getting items like Zhonya's Hourglass or Banshee's Veil against teams that have high burst threat - and items like Lich Bane or Rabadon's Deathcap if you think you can survive without the Health.
Since Fizz can move through units, find opportunities in lane to walk through minions and apply Seastone Trident's passive - following it up with the ability's active attack after a few seconds.
Fizz's ultimate ability, Chum the Waters, can be aimed at an enemy or towards the area where you think they'll be going.
Spell Shields won't block the damage from Deadly Venom, but they will block the effects Twitch can trigger with it.
If you suspect Twitch has left the lane, let your teammates know that Twitch is ''MIA.''
Twitch is fragile. Work with teammates to focus on him when you're able to catch him out of Camouflage.
The stats provided here underscore several critical Fizz against Twitch counter statistics that can help us understand the differences and similarities between the two. For instance, Fizz’s KDA ratio ([kills + assists] / deaths) of NaN is more than Twitch’s KDA ratio of NaN, indicating that Fizz may be more central to his team's team fighting capability than Twitch..
Fizz usually has a slightly larger longest kill spree than his foe does. On average, he receives a similar amount of damage to Twitch. This often reflects different amounts of tankyness, but it can also show that the one champion has less agility and thus is unable to flee from further damage when poked or engaged.
Both LoL champs are great champions. Both champs have their strengths, weaknesses, and counters. In League's current meta, Fizz usually wins when trying to fight Twitch, with a 54.3% win rate. Thus, Fizz makes a great counter to Twitch.
While Fizz does have a much higher win rate than Twitch, when on opposite teams, Fizz also has a greater learning curve that makes him a more difficult champ to pick up and master. You should be be fine when picking Fizz into Twitch.
Additionally, Fizz also has almost no amount of utility and CC, a similar amount to Twitch. This makes her just as valuable during teamfights, especially when facing champions with a ton of burst damage.
While there isn't a single best champion for every situation in League of Legends, in Fizz vs Twitch matchups, Fizz is the better champ with a noticably higher win rate, similar champion depth, and a similar amount of utility to help out your allied champions during late stage team fights.
Fizz is a great counter to Twitch. You will do well by focussing your gameplay on increasing your CS and taking out objectives. If you are able to do that, you should be able to stand on your own as Fizz against Twitch.
If you would like to truly master Fizz in order to counter Twitch during both the early game and mid / late game phases of League of Legends, you should keep reading to learn a few extra tips and tricks for this matchup. If you pay attention to the build and tips presented above, you will increase your win rate significantly and be closer to League of Legends pro players.
Fizz typically picks up a similar amount of CS relative to Twitch. Champions who typically don't acquire much CS often don't have to have much CS to be effective, such as sup champs. They are capable of scaling well off of their abilities and first items alone. Yet, champions with a lot of CS, such as hyper-carries, often require several high cost items to be effective. In either situation, try to exceed the values displayed here to do well.
The most important items to use in your Fizz versus Twitch build include Rabadon's Deathcap, Lich Bane, and Stormsurge. When Fizz bought at least these three pieces in his build, he performed significantly better versus Twitch than with many other commonly used counter builds. In fact, Fizz had an average winrate of 54.3% when countering Twitch with these items in his kit.
To have the highest probability of beating Twitch as Fizz, Fizz players should use the Electrocute, Sudden Impact, Eyeball Collection, Ingenious Hunter, Manaflow Band, and Transcendence runes from the Domination and Sorcery rune sets. Of all the rune builds players chose for Fizz vs Twitch counters, this combination of runes yielded the greatest win rate. Moreover, these runes provided a 54.3% win rate overall.
If you need to get Fizz versus Twitch tips and counter builds for a an individual division rank, feel free to select one from the selection menu provided above. At first, the statistics and build suggestions given are calculated using all rounds completed with these champs.