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Your vision score is 1.18 per minute; Emerald players average 1.70. Buy a control ward on every recall (75 gold is the cheapest insurance in the game), use your trinket off cooldown and sweep the river before objectives.
From the fourth game of a session onwards you win 33%, compared with 80% in the first three. Fatigue is invisible from the inside — play in blocks of three and take a real break.
Your main role is only 55% of your games. Each role has different macro; playing one primary and one secondary role gets you a lot more repetitions of the same decisions.
