Qiyana vs Akshan MID Matchup Guide | LaneStomp

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Qiyana

VS

Mid

Akshan

Qiyana vs Akshan

Updated May 31, 2026

Overview

Qiyana is a medium pressure assassin who must manage element choice and terrain to threaten Akshan's short-range poke and mobility.
Deny Akshan passive scaling by punishing his low range and risky Akshan E engages with your burst and terrain control.

Trading pattern

Prepare the right element with W, then use Q poke and E dash to burst Akshan when his Akshan E is down or missed.
Avoid trading when Akshan has Akshan E ready, as he can reposition or punish your E commit.
Save full all-in for terrain or river fights where R can stun and burst Akshan effectively.

Danger windows

Avoid all-ins when your R is down or you lack terrain access, as your burst is less reliable.
Respect Akshan's Akshan E engage; if he uses it forward and misses, you can punish hard.
Be cautious when Akshan's Akshan R is available, as it can turn fights with burst damage.

Early game

Use level 3 power spike to set up element trades and punish Akshan's short range before he can safely use Akshan E.
Maintain brush or river access to maximize Q and R threat and avoid extended trades away from terrain.
Respect Akshan's high early pressure and avoid committing E without lethal threat or escape path.

Power spikes

Level 3 unlocks your full Q-W-E burst combo and element setup for short trades.
Level 6 R greatly increases kill threat near terrain or river.
Akshan's level 2 with Q plus E or W is a strong early poke and roam threat to respect.

Win conditions

Use element swaps and terrain control to burst Akshan after his mobility cooldowns.
Punish Akshan's missed or wasted Akshan E to secure kills or force him out of lane.
Snowball river and flank fights with R to capitalize on Akshan's weaker short-range dueling and roaming windows.