Been playing Anivia over a year now and I still occasionally mess up a wall and miss her Q more than I want to admit. Getting good with her pays off though, she is probably the most scary mid lane champion in league.
Cassiopeia is also very difficult to play effectively, but is also a very scary mid lane if played correctly.
Vayne is one of the harder adcs to play, she isn't just a right click to win. She has a strategy to her and has a high payoff for effective play.
Brand can be very difficult to use at his full potential, you have to constantly look for opportunities to light everyone up to make the best use of his skills.
Ashe is also difficult to play efficiently. Arguably one of the most useful adcs though.
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