Just a little something to help 
out. All his power is loaded into his Q and R, both his auto attack steroids. His kit has no power without items. His other abilities, particularly his passive, feel weak and unsatisfying.
Too often my target just pops a potion and walks away when my poison would have otherwise finished them off.
Boulderox1 voteshonestly i feel his e is what makes him have the power he has early game... It is the fact he is the definition of an assassin type adc, meant to sneak up and kill the other before they know what hit them.
Bonipherus1 votesNo. Twitch should be the assassin marksman. Not the marksman you pick when you have to combat grievous wounds. There's a reason grievous wounds has been steadily removed from champion kits.
Rustling Bush1 votesThat passive + e is what normally helps me get first blood. Lv 1 w will give 2 stacks, so all you need to do is land 4 autos to get full stacks, it hits like a fking train and you can almost outrade almost every adc early on, it also gives zoning potential... it's just great man, if you think it's weak you not using it properly.
The problem with twitch is outside the stealth gimic why even bother when kalista exists.
BTW, that's not his e your talking about, that his passive that's meant to be a set up for his e, at full stacks the damage is still pretty respectable regardless and if your not getting full stacks often then it's not twitch's fault, it's yours.
