Karthus ADC is ranked Off Meta Tier and has a 57.89% win rate in LoL Patch 7.24. We've analyzed 19 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Hextech GLP-800, Morellonomicon, Sorcerer's Shoes, Archangel's Staff, Void Staff, and Liandry's Torment. For runes, the strongest choice is Sorcery (Primary) with Summon Aery (Keystone), and <pathBonus><pathSorcery>Sorcery</pathSorcery> + <pathPrecision>Precision</pathPrecision> </pathBonus> (Secondary). The optimal Summoner Spells for this build are Flash and Exhaust. Starting items should include Health Potion, Doran's Ring, Refillable Potion, The Dark Seal, and Warding Totem (Trinket). Karthus's Best ADC matchups include Miss Fortune and Varus. Karthus's Best ADC counters are Ezreal.
Karthus Summoner Spells
Karthus Starting Items
Karthus Runes
Karthus Items
Karthus Skill Order
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 | Q | Q | Q | Q | Q | |||||||||||||
 | W | W | W | W | W | |||||||||||||
 | E | E | E | E | E | |||||||||||||
 | R | R | R |
Karthus Trinkets
Karthus Boots
Average Support Duo Queue Champions for Karthus ADC(49% - 51% win rate with Karthus)
Best ADC Champions to Counter Karthus ADC(under 49% win rate for Karthus)
Even ADC Matchups for Karthus ADC(49% - 51% win rate for Karthus)
Even Support Matchups for Karthus ADC(49% - 51% win rate for Karthus)
