Karthus is ranked Tier and has a 40.91% win rate in LoL 3v3 Patch 7.24. We've analyzed 14 Karthus games to compile our statistical Karthus 3v3 Build Guide. For items, our build recommends: Morellonomicon, Rod of Ages, Sorcerer's Shoes, Archangel's Staff, Wooglet's Witchcap, and Liandry's Torment. For runes, the strongest choice is Sorcery (Primary) with Arcane Comet (Keystone), and <pathBonus><pathSorcery>Sorcery</pathSorcery> + <pathInspiration>Inspiration</pathInspiration> </pathBonus> (Secondary). The optimal Summoner Spells for this build are Flash and Exhaust. Starting items should include Health Potion, Doran's Ring, Tear of the Goddess, and Sapphire Crystal.
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Karthus Summoner Spells


Win %
Pick %
64%
100%
70%
71%

67%
21%

0%
7%
Karthus Starting Items

68%

47%

83%

50%
Karthus Runes
Win %
Pick %
80%
55%
100%
12%
0%
7%
0%
7%
Karthus Items

100%

56%

80%

100%

67%

0%

50%
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 Boots
Win %
Buy %

80%
71%

0%
7%