Karthus is ranked Tier and has a 72.22% win rate in LoL 3v3 Patch 8.24. We've analyzed 16 Karthus games to compile our statistical Karthus 3v3 Build Guide. For items, our build recommends: Enchantment: Runic Echoes, Rod of Ages, Archangel's Staff, Sorcerer's Shoes, Morellonomicon, and Wooglet's Witchcap. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Smite. Starting items should include Health Potion, Hunter's Talisman, Doran's Ring, and Amplifying Tome.
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Karthus Summoner Spells


Win %
Pick %
69%
100%
67%
75%

100%
13%

100%
6%

0%
6%
Karthus Starting Items

68%

67%

58%

100%
Karthus Runes
Win %
Pick %
64%
78%
100%
6%
Karthus Items

67%

100%

100%

69%

62%

67%

78%
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 %

69%
81%

100%
6%