Garen vs Gragas Top Matchup
Garen Top wins 55.0% of 1,221 Low Elo games against Gragas Top, +1.5 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 Garen is favored
Decisive Strike(Q) clears Barrel Roll(Q)'s slow, and Perseverance(P) lets Garen recover when he disengages. A Diamond Gragas one-trick describes Garen's sustain as stronger and his Q/W as difficult to answer, which matches the matchup's Garen-favored result.
How to play as Garen
Use Garen Q to clear Gragas Q's slow when you need to move in, but account for Gragas E before committing to a close-range trade.
Garen Q removes the slow from Gragas Q, so it can clear the cask's slow when Garen needs to close distance.
Perseverance(P) restores health after Garen avoids recent damage, while Happy Hour(P) heals Gragas after he casts a skill; their sustain windows differ between trades.
Courage(W) gives Garen a shield and damage reduction that can blunt Gragas's spell damage during a trade.
How to play as Gragas
Place Gragas Q and let Garen spend Garen Q before triggering the cask; the recast slow then cannot be cleansed by that same Q.
Keep Gragas E to peel Garen's approach or spin instead of using it into Garen Q; if Garen starts Judgment, Gragas R can knock him away before you re-engage after the spin.
Sources
These notes come from r/GragasMains and r/GarenMains, checked against the champions' abilities.