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93patches since 2022
11new champions
52new items
28items gone

New champions, newest first

LockeZaahenYunaraMelAmbessaAuroraSmolderHweiBriarNaafiriMilio

New items

Doran's BowDoran's HelmSteel SigilThe BrutalizerTunnelerGlowing MoteOverlord's BloodmailUnending DespairBlackfire TorchKaenic RookernFated AshesDusk and DawnFiendhunter BoltsEndless HungerBastionbreakerActualizerHexoptics C44BandlepipesProtoplasm HarnessWhispering CircletGluttonous GreavesYun Tal WildarrowsExperimental HexplateStatikk ShivMalignanceCryptbloomScout's SlingshotHextech GunbladeHaunting GuiseImmortal PathSwiftmarchCrimson LucidityGunmetal GreavesChainlaced CrushersArmored AdvanceSpellslinger's ShoesTerminusWorld AtlasCelestial OppositionDream MakerZaz'Zak's RealmspikeSolstice SleighBloodsongStormsurgeSundered SkyEchoes of HeliaDawncoreRectrixHubrisProfane HydraVoltaic CycloswordBloodletter's Curse

Items that are gone

  • Obsidian Edge
  • Kircheis Shard
  • Corrupting Potion
  • Evenshroud
  • Chemtech Putrifier
  • Aegis of the Legion
  • Mobility Boots
  • Gargoyle Stoneplate
  • Spellthief's Edge
  • Steel Shoulderguards
  • Relic Shield
  • Spectral Sickle
  • Leeching Leer
  • Night Harvester
  • Demonic Embrace
  • Watchful Wardstone
  • Crown of the Shattered Queen
  • Ironspike Whip
  • Silvermere Dawn
  • Goredrinker
  • Divine Sunderer
  • Everfrost
  • Radiant Virtue
  • Galeforce
  • Rageknife
  • Duskblade of Draktharr
  • Prowler's Claw
  • Anathema's Chains

Renamed items

  • Stopwatch is now Seeker's Armguard
  • Spear Of Shojin is now Spear of Shojin
  • Liandry's Anguish is now Liandry's Torment
  • Luden's Tempest is now Luden's Echo
  • Turbo Chemtank is now Hollow Radiance
  • Navori Quickblades is now Navori Flickerblade

Rune changes

New runes

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

Runes that are gone

  • Predator
  • Zombie Ward
  • Ghost Poro
  • Eyeball Collection
  • Ingenious Hunter

From Riot's game data, comparing patch 12.23 with 16.22. It covers champions, items and runes. It says nothing about map or gameplay changes.