The top champs outside of lane to counter Twitch include Taliyah, Volibear, and Karthus. These champs are all good at countering Twitch with win rates over 55%. Even if these Twitch counter picks are not taken in the same position as you, it's not a good idea to take him into one of these matchups. They will often beat Twitch.
Yet, if the other team brings either Teemo or Fizz, you should seriously think about taking him, as he easily destroys these champs with win rates over 56% against each ofthem.
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