Tier: Off MetaWin38.64%Role1.84%Pick0.04%Ban2.43%Games: 741KDA: 1.53Score: 38.76
Karthus Support is ranked Off Meta Tier and has a 38.64% win rate in LoL Patch 25.09. We've analyzed 741 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Blackfire Torch, Liandry's Torment, Zaz'Zak's Realmspike, and Shadowflame. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Flash and Exhaust. Starting items should include Amplifying Tome, Health Potion, and Stealth Ward. Karthus's Best Support matchups include Lulu, Neeko, and Shen. Karthus's Best Support counters are Xerath, Bard, and Shaco.
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Karthus Summoner Spells


Win %
Pick %
43%
87%
45%
58%

48%
28%

37%
10%

35%
7%

63%
4%
Karthus Starting Items
Win %
Buy %


2

100%
0%


2

50%
0%
Karthus Runes
Win %
Pick %
45%
39%
46%
27%
38%
10%
52%
3%
Karthus Items

42%

45%

42%

50%

43%

51%

43%

40%
Karthus Skill Order
![]() | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() | Q | Q | Q | Q | Q | |||||||||||||
![]() | W | W | W | W | W | |||||||||||||
![]() | E | E | E | E | E | |||||||||||||
![]() | R | R | R |
Karthus Item Purchase Order






















Karthus Trinkets
Win %
Buy %

43%
74%

45%
64%

51%
6%
Karthus Boots
Win %
Buy %

45%
70%

37%
11%

71%
1%

20%
1%

100%
0%

0%
0%
Karthus Support Items
Win %
Buy %

43%
82%

67%
1%

67%
1%

33%
2%

0%
0%