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164patches since 2019
26new champions
79new items
22items gone

New champions, newest first

LockeZaahenYunaraMelAmbessaAuroraSmolderHweiBriarNaafiriMilioK'SanteNilahBel'VethRenata GlascZeriVexAkshanGwenViegoRellSeraphineSamiraYoneLilliaSett

New items

Doran's BowScorchclaw PupGustwalker HatchlingMosstomper SeedlingDoran's HelmSteel SigilThe BrutalizerTunnelerGlowing MoteOverlord's BloodmailUnending DespairBlackfire TorchKaenic RookernFated AshesDusk and DawnFiendhunter BoltsEndless HungerBastionbreakerActualizerHexoptics C44BandlepipesProtoplasm HarnessWhispering CircletGluttonous GreavesYun Tal WildarrowsHearthbound AxeWinged MoonplateExperimental HexplateHeartsteelMalignanceWinter's ApproachCryptbloomSpear of ShojinImmortal PathSwiftmarchCrimson LucidityGunmetal GreavesChainlaced CrushersSpellslinger's ShoesTerminusWorld AtlasCelestial OppositionDream MakerZaz'Zak's RealmspikeSolstice SleighBloodsongImperial MandateForce of NatureHorizon FocusCosmic DriveBlighting JewelVerdant BarrierRiftmakerBandleglass MirrorShadowflameStormsurgeChempunk ChainswordSundered SkyStaff of Flowing WaterMoonstone RenewerEchoes of HeliaDawncoreStridebreakerHollow RadianceJak'Sho, The ProteanNoonquiverKraken SlayerImmortal ShieldbowNavori FlickerbladeThe CollectorRectrixEclipseSerylda's GrudgeSerpent's FangAxiom ArcHubrisProfane HydraVoltaic CycloswordBloodletter's Curse

Items that are gone

  • Hunter's Talisman
  • Hunter's Machete
  • Kircheis Shard
  • Corrupting Potion
  • Frozen Mallet
  • Chalice of Harmony
  • Hextech GLP-800
  • Jaurim's Fist
  • Stinger
  • Aegis of the Legion
  • Boots of Mobility
  • Gargoyle Stoneplate
  • Adaptive Helm
  • Stalker's Blade
  • Skirmisher's Sabre
  • Righteous Glory
  • Spellthief's Edge
  • Steel Shoulderguards
  • Relic Shield
  • Spectral Sickle
  • Twin Shadows
  • Spellbinder

Renamed items

  • Boots of Speed is now Boots
  • Shurelya's Reverie is now Shurelya's Battlesong
  • Stopwatch is now Seeker's Armguard
  • Glacial Shroud is now Glacial Buckler
  • Ninja Tabi is now Plated Steelcaps
  • Sunfire Cape is now Sunfire Aegis
  • Bilgewater Cutlass is now Scout's Slingshot
  • Hextech Revolver is now Hextech Alternator
  • Duskblade of Draktharr is now Haunting Guise
  • Hextech Protobelt-01 is now Hextech Rocketbelt
  • Blade of the Ruined King is now Blade of The Ruined King
  • Athene's Unholy Grail is now Armored Advance
  • Sanguine Blade is now Hullbreaker
  • Mikael's Crucible is now Mikael's Blessing
  • Warding Totem (Trinket) is now Stealth Ward

Rune changes

New runes

  • Sixth Sense
  • Grisly Mementos
  • Deep Ward
  • First Strike
  • Deathfire Touch

Runes that are gone

  • Predator
  • Zombie Ward
  • Ghost Poro
  • Eyeball Collection
  • Ingenious Hunter
  • Prototype: Omnistone

From Riot's game data, comparing patch 9.24 with 16.22. It covers champions, items and runes. It says nothing about map or gameplay changes.