Karthus is ranked Tier and has a 83.33% win rate in LoL 3v3 Patch 8.24. We've analyzed 12 Karthus games to compile our statistical Karthus 3v3 Build Guide. For items, our build recommends: Sorcerer's Shoes, Archangel's Staff, Wooglet's Witchcap, Morellonomicon, Void Staff, and Liandry's Torment. 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 Exhaust. Starting items should include Health Potion, Doran's Ring, Boots of Speed, and Refillable Potion.
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Karthus Summoner Spells


Win %
Pick %
82%
92%
100%
33%

100%
25%

100%
17%

100%
8%

50%
17%
Karthus Starting Items

100%

100%

100%

80%
Karthus Runes
Win %
Pick %
85%
38%
100%
15%
73%
15%
100%
8%
Karthus Items

88%

100%

88%

100%

67%

100%

100%
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 %

88%
67%

100%
8%