Contaminate has a large range; apply as many stacks of Deadly Venom as possible before using it.
You can catch up to an enemy out of attack range with Venom Cask.
Twitch's Attack Speed is among the highest in the game; try purchasing items with on-hit effects such as Black Cleaver or Wit's End.
Alistar is very disruptive but very tough - try to target more fragile damage dealers.
When Alistar uses his ultimate, it's often better to move back and wait until the effect wears off before attacking him.
Watch out for the Pulverize-Headbutt combo when around turrets.
The stats shown here show some important Twitch against Alistar matchup stats that can help us grasp the differences and similarities between the pair. As an example, Twitch’s KDA ratio ([kills + assists] / deaths) of NaN is greater than Alistar’s KDA ratio of NaN, indicating that Twitch may be more central to his team's team fighting potential than Alistar. This observation is largely a result of the difference in kills.
Twitch typically has a much larger longest killing spree than his enemy does. Typically, he takes less damage than Alistar. This often reflects differing health capacities; however, it can also indicate that the one champ has less agility and thus is not able to flee from further damage when poked or engaged.
Both League of Legends champs are great. Both have their strengths, weaknesses, and counters. In League's current meta, Twitch usually fairs equally well when trying to fight Alistar, with a 50.9% win rate. Thus, Twitch makes an ok counter to Alistar.
While Twitch does have a higher win rate compared to Alistar, when on opposite teams, Twitch also has a lower level of difficulty that makes him a less time consuming champ to pick up and master. You should be careful when picking Twitch into Alistar.
Additionally, Twitch has almost no amount of utility and CC, a similar amount to Alistar. This often makes her just as valuable during teamfights, especially when facing champions with a ton of burst damage.
While there is not one best champion in League of Legends, in Twitch vs Alistar matchups, Twitch is the better champ with a similar win rate, less champion complexity, and a similar amount of utility to help out your teammates during team fights.
Twitch is a decent counter to Alistar. You will do well by focussing your gameplay on keeping up your CS and taking out objectives. If you do that, you should hold your own as Twitch against Alistar.
If you would like to truly master Twitch to counter Alistar during both the early game and mid / late game phases of League of Legends, you should continue reading to pick up a few extra lessons on this matchup. If you pay attention to the build and suggestions displayed here, you will increase your win rate significantly and be closer to League of Legends pro players.
Twitch typically gets much more CS compared to Alistar. Champions who typically don't take many minion kills typically don't have to have much CS to be valuable teammates, such as sup champs. These kinds of champions are capable of scaling well off of their abilities and first items alone. Yet, champions with large amounts of CS, such as hyper-carries, usually have to have several high cost items to be effective. In either situation, try to surpass the values shown here to do well.
The ideal items to prioritize in your Twitch versus Alistar build include Infinity Edge, Runaan's Hurricane, and Kraken Slayer. When Twitch included at least these three items in his build, he performed significantly better when facing Alistar than with most other commonly used counter builds. In fact, Twitch had an average win rate of 50.9% when playing against Alistar with these items in his kit.
To have the best probability of defeating Alistar as Twitch, Twitch players should use the Lethal Tempo, Presence of Mind, Legend: Alacrity, Coup de Grace, Taste of Blood, and Treasure Hunter runes from the Precision and Domination rune sets. Out of all the rune sets players chose for Twitch vs Alistar counter picks, this blending of runes yielded the highest win rate. In fact, these runes averaged a 50.9% winrate overall.
If you would like to view Twitch vs Alistar tips and counter stats for a a specific division rank, feel free to choose one from the selection menu shown above. If viewing for the first time, the statistics and build suggestions displayed are calculated using all rounds played with both champions.