Karthus Support is ranked Off Meta Tier and has a 40.51% win rate in LoL Patch 7.24. We've analyzed 79 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Eye of the Watchers, Sorcerer's Shoes, Morellonomicon, Liandry's Torment, and Rylai's Crystal Scepter. For runes, the strongest choice is Sorcery (Primary) with Arcane Comet (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, Spellthief's Edge, Refillable Potion, Doran's Ring, and Warding Totem (Trinket). Karthus's Best Support matchups include Miss Fortune and Soraka. Karthus's Best Support counters are Blitzcrank and Leona.
Karthus Summoner Spells
![Flash](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/spell/SummonerFlash.png)
![Exhaust](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/spell/SummonerExhaust.png)
![Ignite](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/spell/SummonerDot.png)
![Teleport](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/spell/SummonerTeleport.png)
![Barrier](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/spell/SummonerBarrier.png)
![Ghost](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/spell/SummonerHaste.png)
Karthus Starting Items
![Health Potion](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/2003.png)
![Spellthief's Edge](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3303.png)
![Refillable Potion](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/2031.png)
![Doran's Ring](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/1056.png)
![Warding Totem (Trinket)](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3340.png)
Karthus Runes
Karthus Items
![Rod of Ages](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3027.png)
![Eye of the Watchers](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/2301.png)
![Sorcerer's Shoes](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3020.png)
![Morellonomicon](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3165.png)
![Liandry's Torment](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3151.png)
![Rylai's Crystal Scepter](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3116.png)
![Warding Totem (Trinket)](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3340.png)
![Elixir of Sorcery](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/2139.png)
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 Trinkets
![Warding Totem (Trinket)](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3340.png)
![Oracle Alteration](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3364.png)
![Sweeping Lens (Trinket)](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3341.png)
![Farsight Alteration](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3363.png)
Karthus Boots
![Sorcerer's Shoes](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3020.png)
![Ionian Boots of Lucidity](https://ddragon.leagueoflegends.com/cdn/7.24.1/img/item/3158.png)