Akali vs Fizz Mid Matchup

Akali Mid wins 49.0% of 3,499 Low Elo games against Fizz Mid, +1.8 points vs expected, 2-patch window 26.19-26.20.

Researched on LoL patch 26.20. Tips are written to hold at any rank; stats come from Low Elo ranked games up to patch 26.20.

Why Akali is favored

Akali can chip Fizz with Q and passive attacks, then use Shuriken Flip (E) to dodge his Playful/Trickster (E) landing; if Fizz spends E on the wave, he loses both key waveclear and his main untargetability for a long cooldown. Akali can press that opening with short trades and hold E2 or R until Fizz E is unavailable, consistent with her +3.0pp high-elo edge.

Measured in High Elo: Akali wins 3.0pp more often than expected over 1,125 games.

How to play as Akali

Use Akali Q to poke when Fizz moves up for CS, and be ready to E his Playful/Trickster (E) landing; if he spends E on the wave, take a short trade while it is down, but wait before committing your own E2 or R.

Akali Q and her passive support repeated close-range trades, while Fizz E can avoid the damage from Akali E2 when timed; both champions have a way to punish a spent defensive cooldown.

Fizz Playful/Trickster (E) is his main waveclear spell and makes him untargetable during the jump; Akali can use Shuriken Flip (E) to dodge its landing, and if Fizz spends E on the wave he loses that defense.

How to play as Fizz

Bait Akali Q before entering with Fizz Q and Fizz W, and keep Fizz E for Akali E2; she can turn the trade if you spend it early.

Sources

These notes come from r/fizzmains, LoL Wiki, mobafire.com, and r/akalimains, checked against the champions' abilities.